Portal hypertension associated with systemic mastocytosis and splenomegaly

Sharon Grundfest, Avram M. Cooperman, Roy Ferguson, Sanford Benjamin

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

An unusual case of systemic mastocytosis with splenomegaly, portal hypertension, and bleeding esophageal varices is presented. Arteriograms and liver biopsy suggested the mechanism of the portal hypertension was due to increased blood flow in the splenic vein, although splenic arteriovenous shunting secondary to histamine release and increased intrahepatic resistance secondary to mast cell infiltration might have played a role. The portal hypertension was relieved by splenectomy.

Original languageEnglish
Pages (from-to)370-373
Number of pages4
JournalGastroenterology
Volume78
Issue number2
DOIs
StatePublished - Feb 1980
Externally publishedYes

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