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Noncirrhotic portal hypertension in the adult: case report and review of the literature.
J Assoc Acad Minor Phys. 1998; 9(3):53-5.JA

Abstract

Noncirrhotic portal hypertension results from thrombosis of the extrahepatic portal vein that subsequently is recanalized. Liver function is preserved. In the adult, esophageal variceal hemorrhage is the most common presentation and may occur years after the portal vein thrombosis. We report the case of a 34-year-old man who presented with recurrent esophageal variceal hemorrhage. After ultrasonographic and angiographic evaluation, a diagnosis of idiopathic noncirrhotic portal hypertension was made. Due to recurrent esophageal variceal bleeding, the patient required surgical intervention to control bleeding. The incidence of noncirrhotic portal hypertension is unknown. Multiple etiologies may cause the disorder, although nearly half are idiopathic. The pathogenesis, clinical manifestations, diagnostic evaluation, natural history, prognosis, and management of noncirrhotic portal hypertension are discussed. Endoscopic management of esophageal variceal bleeding is the preferred therapy. However, when endoscopic treatment fails to control variceal hemorrhage, a distal splenorenal shunt is likely to be the most successful operation.

Authors+Show Affiliations

Department of Medicine, UMDNJ-New Jersey Medical School, Newark 07103-2714, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

9747059

Citation

Almoudarres, M, et al. "Noncirrhotic Portal Hypertension in the Adult: Case Report and Review of the Literature." Journal of the Association for Academic Minority Physicians : the Official Publication of the Association for Academic Minority Physicians, vol. 9, no. 3, 1998, pp. 53-5.
Almoudarres M, Vega KJ, Trotman BW. Noncirrhotic portal hypertension in the adult: case report and review of the literature. J Assoc Acad Minor Phys. 1998;9(3):53-5.
Almoudarres, M., Vega, K. J., & Trotman, B. W. (1998). Noncirrhotic portal hypertension in the adult: case report and review of the literature. Journal of the Association for Academic Minority Physicians : the Official Publication of the Association for Academic Minority Physicians, 9(3), 53-5.
Almoudarres M, Vega KJ, Trotman BW. Noncirrhotic Portal Hypertension in the Adult: Case Report and Review of the Literature. J Assoc Acad Minor Phys. 1998;9(3):53-5. PubMed PMID: 9747059.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Noncirrhotic portal hypertension in the adult: case report and review of the literature. AU - Almoudarres,M, AU - Vega,K J, AU - Trotman,B W, PY - 1998/9/25/pubmed PY - 1998/9/25/medline PY - 1998/9/25/entrez SP - 53 EP - 5 JF - Journal of the Association for Academic Minority Physicians : the official publication of the Association for Academic Minority Physicians JO - J Assoc Acad Minor Phys VL - 9 IS - 3 N2 - Noncirrhotic portal hypertension results from thrombosis of the extrahepatic portal vein that subsequently is recanalized. Liver function is preserved. In the adult, esophageal variceal hemorrhage is the most common presentation and may occur years after the portal vein thrombosis. We report the case of a 34-year-old man who presented with recurrent esophageal variceal hemorrhage. After ultrasonographic and angiographic evaluation, a diagnosis of idiopathic noncirrhotic portal hypertension was made. Due to recurrent esophageal variceal bleeding, the patient required surgical intervention to control bleeding. The incidence of noncirrhotic portal hypertension is unknown. Multiple etiologies may cause the disorder, although nearly half are idiopathic. The pathogenesis, clinical manifestations, diagnostic evaluation, natural history, prognosis, and management of noncirrhotic portal hypertension are discussed. Endoscopic management of esophageal variceal bleeding is the preferred therapy. However, when endoscopic treatment fails to control variceal hemorrhage, a distal splenorenal shunt is likely to be the most successful operation. SN - 1048-9886 UR - https://www.unboundmedicine.com/medline/citation/9747059/Noncirrhotic_portal_hypertension_in_the_adult:_case_report_and_review_of_the_literature_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -