Resumo

CRUZ-ALVAREZ CANTOS, Iván; LAVANDERA RODRIGUEZ, Iván  e  SAGARO GONZALEZ, Eduardo. Surgical technique for treatment of a prehepatic portal hypertension in the adult. Rev Cubana Cir [online]. 2010, vol.49, n.4, pp. 58-63. ISSN 1561-2945.

This is the case of a female patient aged 24 presenting with prehepatic portal hypertension secondary to a catheterization of the umbilical vein in neonatal period who undergoes a novel surgical technique used only in children. This patient had esophageal varices, portal gastropathy and hypersplenism with a significant splenomegaly A partial splenectomy with truncal partial gastric devascularization (ligature of right coronary-stomachic and gastroepiploic arteries and veins). Patient recovered the normal hematic concentrations, varices disappeared without bleeding and spleen growth during a period of one a half year. Authors considered that this is a good surgical alternative in patients presenting with prehepatic portal hypertension at any age.

Palavras-chave : Portal hypertension; partial splenectomy; gastric devascularization.

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