Source:http://linkedlifedata.com/resource/pubmed/id/18239883
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2008-2-1
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pubmed:abstractText |
We report a case of serous cystadenoma of pancreas causing left-sided portal hypertension and gastric varices. A 68-year-old man was admitted for treatment of a pancreatic body tumor. Contrast-enhanced computed tomography (CT) showed a honeycombed cystic mass. A celiac angiogram showed a hypervascular tumor supplied mainly by a dilated splenic artery and dorsal pancreatic artery. In the venous phase, the patent splenic vein had a large hepatopetal collateral vein via the coronary gastric vein. Upper gastrointestinal endoscopy showed isolated varices of the gastric fundus. We made a preoperative diagnosis of a serous cystic tumor of the pancreas with left-sided portal hypertension and performed distal pancreatectomy with splenectomy. The resected tumor was 8 cm in diameter and had a typical honeycombed microcystic pattern with central stellate scarring. The spleen was not enlarged. Histopathological examination confirmed a diagnosis of serous cystadenoma without any sign of malignancy. Postoperative endoscopy showed disappearance of the gastric varices.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0941-1291
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
184-7
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pubmed:meshHeading |
pubmed-meshheading:18239883-Aged,
pubmed-meshheading:18239883-Cystadenoma, Serous,
pubmed-meshheading:18239883-Esophageal and Gastric Varices,
pubmed-meshheading:18239883-Humans,
pubmed-meshheading:18239883-Hypertension, Portal,
pubmed-meshheading:18239883-Male,
pubmed-meshheading:18239883-Pancreatic Neoplasms
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pubmed:year |
2008
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pubmed:articleTitle |
Left-sided portal hypertension caused by serous cystadenoma of the pancreas: report of a case.
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pubmed:affiliation |
Department of Hepato-Biliary-Pancreatic Surgery, Tokyo Medical and Dental University, Graduate School of Medicine, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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