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Case Reports in Pediatrics
Volume 2015, Article ID 480507, 4 pages
http://dx.doi.org/10.1155/2015/480507
Case Report

Isolated Splenic Vein Thrombosis: 8-Year-Old Boy with Massive Upper Gastrointestinal Bleeding and Hypersplenism

1Pediatric Gastroenterology Ward, Department of Pediatrics, Mashhad University of Medical Sciences, Mashhad 9177948564, Iran
2Department of Emergency Medicine, Imam Khomeini General Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz 6193673166, Iran
3Medical Student Research Committee and Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz 6193673166, Iran
4Vascular and Endovascular Surgery Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 9177948564, Iran

Received 12 May 2015; Revised 9 July 2015; Accepted 21 July 2015

Academic Editor: Denis A. Cozzi

Copyright © 2015 Mohammad Ali Kiani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present an 8-year-old boy who was referred to our center with the complaint of upper gastrointestinal bleeding and was diagnosed with hypersplenism and progressive esophageal varices. Performing a computerized tomography (CT) scan, we discovered a suspicious finding in the venography phase in favor of thrombosis in the splenic vein. Once complementary examinations were done and due to recurrent bleeding and band ligation failure, the patient underwent splenectomy. And during the one-year follow-up obvious improvement of the esophageal varices was observed in endoscopy.