This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Anatomy
Which of the following is not associated with left sided poal hypeension 
Select and explain. 
A. Secondary to pancreatic inflammation or neoplasm, B. Normal superior mesenteric and poal venous pressure, C. Easily reversed by splenectomy, D. Isolated esophageal varices present
D: Isolated esophageal varices present
Answer: D: Isolated esophageal varices present 
Explanation: Left sided poal hypeension Poal hypeension due to isolated splenic vein thrombosis is known as left sided poal hypeension or sinistral hypeension Pressure in poal vein and SMV are normal There is gastrosplenic venous hypeension leading to formation of gastric varices Causes Pancreatitis (Most common) leading to splenic vein thrombosis Neoplasm Trauma Treatment Splenectomy is the treatment of choice Ref: Sabiston 20th edition Pgno : 1436-1437