Abstract
Two cases of splenic venous occlusion due to pancreatic pseudocyst were reported. Case 1, 51-year-old man, and case 2, 38-year-old man, were admitted to our clinic because of massive hematoemsis and of melena of episodic duration, respectively. In both cases, upper GI series revealed marked gastric varices, and selective caeliacoangiogram dem-onstrated splenic venous occlusion. Laparoscopic exami nation revealed a remarkable venous dilatation along the greater curvature of the stomach, but surface of the liver was smooth in both cases. In view of these, two patients were suspected to have bled from the gastric varices which were induced by the splenic venous occlusion. By operation, pancreatic pseudocyst in the pancreatic tail were detected which compressed the splenic vein completely. Chronic pancreatitis was found histologically in both cases.
