@entity3556 in a @entity1 with XXXX without a past history of laparotomy: successful treatment with partial splenic artery embolization.

@entity1 @entity3556 @entity417 @entity13374 @entity887 @entity1575
A 47-year-old female @entity1 with @entity1575 underwent endoscopic injection sclerotherapy for esophageal varices 13  years ago. The @entity1 had no past history of hysterectomy or any other @entity13374 . She was admitted to our hospital because of persistent @entity3556 and exacerbation of @entity417 . A contrast-enhanced computed tomography scan revealed marked dilation of not only the inferior mesenteric vein, but also the left ovarian vein, the uterine vein and the internal iliac vein. A celiac arteriography showed that the blood in the splenic vein was flowing almost totally hepatofugally into the dilated inferior mesenteric vein. An ovarian venography demonstrated knob-shaped dilation of the left ovarian vein draining into the left internal iliac vein. A proximally wedged left ovarian venography visualized the right ovarian vein and the right internal iliac vein with contrast medium via a palisade venous plexus from the dilated uterine and ovarian veins. @entity887 ( @entity887 ) was performed to increase platelet count and to reduce splenic venous blood flow into the ovarian vein. Following the @entity887 , the platelet count increased, and the blood flow in the dilated ovarian vein and uterine vein diminished. In addition, the portal blood flow became hepatopetal, and remarkably increased. There has as yet been no case report in which @entity3556 developed in @entity1 with @entity1575 without any past history of hysterectomy or other @entity13374 . The present case report may be warranted in view of the rarity of the condition.
