• Jie Liang, Xu Feng, Min Peng, Jin-Tao Duan, Yao-Yong Chen, and Jun Zhu.
• School of Clinical Medicine, Chengdu Medical College, Chengdu, Sichuan Province, China.
• Medicine (Baltimore). 2024 Feb 2; 103 (5): e37109e37109.

RationaleThis report describes a unique case of a combination transhepatic and transsplenic recanalization of chronic splenic vein occlusion to treat left-sided portal hypertension (LSPH).Patient ConcernsIn this case report, we report a 49-year-old male who was admitted due to LSPH causing black stools for 2 days and vomiting blood for 1 hour.DiagnosesThe patient has a history of multiple episodes of pancreatitis in the past. After admission, abdominal contrast-enhanced CT scan showed the appearance of pancreatitis, with extensive splenic vein occlusion and accompanied by gastric varicose veins, indicating the formation of LSPH.InterventionThe patient received treatment with a combination of splenic and hepatic splenic venoplasty.OutcomesFollow up for 1 year, CT and gastroscopy showed disappearance of gastric varices.LessonsSplenic venoplasty is an effective method for treating LSPH. When it is difficult to pass through the occluded segment of the splenic vein through a single approach, percutaneous double approach splenic venoplasty can be attempted for treatment.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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