Idiopathic Presinusoidal Portal Hypertension (Banti's Syndrome)
Authors: EDWIN POLISH
Journal: Annals of Internal Medicine (1962)

Case Reports1 April 1962Idiopathic Presinusoidal Portal Hypertension (Banti's Syndrome)EDWIN POLISH, JOHN CHRISTIE, ARTHUR COHEN, BENJAMIN SULLIVAN JR.EDWIN POLISH, JOHN CHRISTIE, ARTHUR COHEN, BENJAMIN SULLIVAN JR.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-56-4-624 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1894 Banti (1) reported a disease characterized by splenomegaly and "cirrhosis" of the liver. He described three stages: the anemic stage in which hypersplenism was the only finding; the transitional stage characterized by jaundice and disturbed gastrointestinal function; and, finally, the ascitic stage characterized by ascites, together with increasing jaundice and anemia. Banti stated that he had never performed an autopsy on a patient in the earliest stages; but in the transitional stage the portal vein and splenic vein demonstrated sclerotic endophlebitis, and the liver revealed a minimal increase in connective tissue. He emphasized these findings (endophlebitis of the...References1. BANTI G: Splenomegaly with cirrhosis of the liver. Med. Classics 1: 889, 1937. Google Scholar2. REYNOLDSREDEKERGELLER TBAGHM: Wedged hepatic venous pressure. Amer. J. Med. 22: 34, 1957. CrossrefGoogle Scholar3. MCMICHAEL J: The pathology of hepatolineal fibrosis. J. Path. Bact. 39: 481, 1934. CrossrefGoogle Scholar4. LI P: Adaptation in veins to increased intravenous pressure with special reference to the portal system and inferior vena cava. J. Path. Bact. 50: 121, 1940. CrossrefGoogle Scholar5. ROUSSELOT LM: Congestive splenomegaly (Banti syndrome). Bull. N. Y. Acad. Med. 15: 188, 1939. MedlineGoogle Scholar6. HALLENBECKSHOCKETT GAE: Evaluation of portacaval shunts for portal hypertension. Surg. Gynec. Obstet. 105: 49, 1957. MedlineGoogle Scholar7. TISDALEKLATSKINGLENN WAGWW: Portal hypertension and bleeding esophageal varices. New Engl. J. Med. 261: 201, 1959. CrossrefGoogle Scholar8. RAVENNAAP P: Banti syndrome (fibrocongestive splenomegaly); definition, classification and pathogenesis. Arch. Intern. Med. 66: 879, 1940. CrossrefGoogle Scholar9. PEMBERTONKIERNAN JDP: Surgery of the spleen. Surg. Clin. N. Amer. 25: 880, 1945. Google Scholar10. WHIPPLE AO: Problem of portal hypertension in relation to hepatosplenopathies. Ann. Surg. 122: 449, 1945. CrossrefMedlineGoogle Scholar11. SNAVELYBREAHELL JGES: Fatal hemorrhage from esophageal varices. Amer. J. Med. 16: 459, 1954. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the Department of Gastroenterology and Surgery, Walter Reed General Hospital, Washington 12, D. C.Requests for reprints should be addressed to Edwin Polish, M.D., Section of Gastroenterology, Hahnemann Medical College and Hospital, 230 N. Broad St., Philadelphia 2, Pa. 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L. BOYER, M.D., K. P. SEN GUPTA, M.B., D.PHIL., S. K. BISWAS, M.B., D.PHIL., N. C. PAL, M.B., D.PHIL., K. C. BASU MALLICK, M.D., PH.D., F. L. IBER, M.D., A. K. BASU, M.S.Portal hypertension resulting from splenic arteriovenous fistulae.Die portale PlethoraHepatic Hemodynamics and Portal HypertensionLiver Disease 1 April 1962Volume 56, Issue 4Page: 624-627KeywordsCirrhosisHypertensionLiverLiver diseasesPortal hypertensionPortal veinsSchistosomiasisSplenomegalySurgeryVeins Issue Published: 1 April 1962 PDF DownloadLoading ...