Simultaneous splenorenal shunt and repair of an abdominal aortic aneurysm.
Portal hypertension with bleeding esophageal varices and infrarenal abdominal aortic aneurysms are relatively common problems. This report describes a patient with a recent upper gastrointestinal hemorrhage from esophageal varices secondary to portal hypertension as well as the presence of an asymptomatic 7 cm abdominal aortic aneurysm. Treatment consisted of splenectomy, splenorenal shunt and repair of the abdominal aortic aneurysm with a knitted Dacron graft. We know of no other case similar to this reported in the literature. A discussion of the approach to a patient with both conditions is presented.
Anderson
R J
RJ
Department of Surgery, UMDNJ/New Jersey Medical School, Newark.
Manno
J
J
Swan
K G
KG
D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D008108:Liver Diseases, Alcoholic / Q000150:complications / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D013156:Splenectomy; D013164:Splenorenal Shunt, Surgical; D014057:Tomography, X-Ray Computed
D011093:Polyethylene Terephthalates