J Minim Invasive Surg.  2017 Sep;20(3):113-116. 10.7602/jmis.2017.20.3.113.

Laparoscopic Splenectomy for a Patient with Splenomegaly and Hypersplenism due to Idiopathic Portal Hypertension

Affiliations
  • 1Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 2Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • 3Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. seohi71@hanmail.net

Abstract

Idiopathic portal hypertension (IPH) is a rare disorder which is clinically characterized by portal hypertension, splenomegaly, hypersplenism and the absence of liver cirrhosis. Patients with IPH have massive splenomegaly leading to increased portal venous flow and subsequent portal hypertension. In selected IPH patients with splenomegaly and hypersplenism, splenectomy can be regarded as an effective treatment protocol for decreasing portal hypertension. We report a case of a 44-year-old woman who was diagnosed with IPH accompanied by splenomegaly and hypersplenism. She underwent laparoscopic splenectomy and clinical symptoms and hypersplenism resolved. Our study shows that laparoscopic splenectomy can be considered as a procedure for treating patients with splenomegaly and hypersplenism due to IPH.

Keyword

Idiopathic portal hypertension; Splenomegaly; Laparoscopic splenectomy

MeSH Terms

Adult
Clinical Protocols
Female
Humans
Hypersplenism*
Hypertension, Portal*
Liver Cirrhosis
Splenectomy*
Splenomegaly*
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