Variceal bleeding caused by segmental portal hypertension in association with situs inversus and malrotation.

ABSTRACT

An 18-year-old, previously healthy, woman was admitted to hospital because of haematemesis. Endoscopy showed large varices in the fundus of the stomach. Further investigations revealed segmental portal hypertension caused by situs inversus of the spleen. The case illustrates the importance of considering causes other than liver diseases in variceal bleeding.