Splenic vein thrombosis is best treated by -: (A) Splenectomy, (B) Porto-caval shunt, (C) Spleno-renal shunt, (D) Mesenterico-caval shunt
Answer is A. • Portal hypertension due to isolated splenic vein thrombosis is known as left sided portal hypertension or sinistral hypertension.
• Pressure in portal vein and SMV are normal
• There is gastrosplenic venous hypertension leading to formation of gastric varices
Causes
• Pancreatitis (MC)  leading to splenic vein thrombosis
• Neoplasm, Trauma
Treatment
• Splenectomy is the treatment of choice