<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>A 27-year old female patient, born and living in Morocco, suffered from severe variceal bleeding and
weight loss. Eventually a diagnosis of gastrict fundus varices was made supposedly resulting from partial
obstruction of the splenic vein and collateral blood flow via the short gastric veins. Splenectomy was
proposed. Peroperatively it became apparent that a solitary ecchinococcal cyst in the hilus of the spleen
obstructed the blood flow in the splenic vein. The cyst, the spleen, and part of the pancreatic tail were
removed. After splenectomy bleeding did not recur.</p>
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HPB Surg. 1993; 6(3):229-233