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Splenic Artery Embolization as an Adjunct to Surgery in a Case of Left-sided Portal Hypertension

Amit Ganguly, Alok Udiya, Ravindra Kale, Chaitanya Prakash Kothari

Left sided portal hypertension (LSPH) is a rare clinical entity, most often related to pancreatic diseases. The characteristic feature of LSPH is splenomegaly, varices with normal liver function. Splenectomy remains the treatment of choice, when it presents with gastro intestinal tract bleed. Surgery in the presence of massive spleen and collaterals could be hazardous. Splenic artery embolzation as an adjunct to surgery has been tried by some authors with good result.