[Compartmentalized portal hypertension after spleno-renal shunt occlusion (author's transl)].
This is a report of a patient with a thrombosed distal spleno-renal shunt with gastro-splenic disconnection and post-operative recurrent variceal hemorrhage. After portocaval shunt, a high venous pressure in the gastro-splenic sector demonstrates a compartmentalized venous hypertension. Splenectomy normalized this segmental portal hypertension, this confirming the concept that this type of portosystemic shunt is selective in early post-operative period.
D000328:Adult; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology*; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects*; D013156:Splenectomy; D013164:Splenorenal Shunt, Surgical / Q000009:adverse effects*; D013927:Thrombosis / Q000150:complications*
Hypertension portale segmentaire après thrombose d'un shunt spléno-rénal distal.