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

Authors

  • Pabitra Adhikari Department of GI and General surgery, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Nirajan Regmi Department of GI and General surgery, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Akash Chitrakar Department of GI and General surgery, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Bikal Ghimire Department of GI and General surgery, Institute of Medicine, Maharajgunj, Kathmandu, Nepal
  • Yogendra P. Singh Department of GI and General surgery, Institute of Medicine, Maharajgunj, Kathmandu, Nepal

DOI:

https://doi.org/10.31729/jnma.4214

Keywords:

cavernoma; EHPVO; modified Hassab’s operation; unilateral renal agenesis.

Abstract

EHPVO in individual with solitary left kidney is rare occurance. Though there is no etiological association between EHPVO 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 EHPVO present mainly with recurrent episodes of variceal bleeding, splenomegaly and hypersplenism. Splenectomy and esophagogastric devascularisation is an effective modality of treatment for patient with EHPVO with solitary kidney.

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Published

2019-04-30

How to Cite

Adhikari, P., Regmi, N., Chitrakar, A., Ghimire, B., & Singh, Y. P. (2019). Extra Hepatic Portal Vein Obstruction with Solitary Left Kidney: A Case Report. Journal of Nepal Medical Association, 57(216). https://doi.org/10.31729/jnma.4214

Issue

Section

Case Reports

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