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Extra Hepatic Portal Vein Obstruction with Solitary Left Kidney: A Case Report

Extra Hepatic Portal Vein Obstruction in individual with solitary left kidney is rare occurrence. Though there is no etiological association between Extra Hepatic Portal Vein Obstruction and solitary left kidney but the solitary left kidney decides the modality of treatment. Eighteen year lady refer...

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Detalles Bibliográficos
Autores principales: Adhikari, Pabitra, Regmi, Nirajan, Chitrakar, Akash, Ghimire, Bikal, Singh, YP
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the Nepal Medical Association 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8827586/
https://www.ncbi.nlm.nih.gov/pubmed/31477949
http://dx.doi.org/10.31729/jnma.4214
Descripción
Sumario:Extra Hepatic Portal Vein Obstruction in individual with solitary left kidney is rare occurrence. Though there is no etiological association between Extra Hepatic Portal Vein Obstruction and solitary left kidney but the solitary left kidney decides the modality of treatment. Eighteen year lady referred to our institute with menorrhagia for 5 years and ultrasonography finding of splenomegaly and atretic right kidney. Investigations revealed Extra Hepatic Portal Vein Obstruction with multiple cavernoma formation with oesophagogastric varices with right renal agenesis. She successfully underwent splenectomy with devascularisation. Patient with Extra Hepatic Portal Vein Obstruction present mainly with recurrent episodes of variceal bleeding, splenomegaly and hypersplenism. Splenectomy and esophagogastric devascularisation is an effective modality of treatment for patient with Extra Hepatic Portal Vein Obstruction with solitary kidney.