Preservation of distal splenorenal shunt in a patient requiring left nephrectomy.
We report a case in which a prior distal splenorenal shunt for bleeding esophageal varices was preserved during subsequent left nephrectomy for adenocarcinoma. At nephrectomy portal hypertension with numerous collateral varices to the splenic vein was not a major technical problem. Shunt integrity was documented by postoperative angiography.
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D004932:Esophageal and Gastric Varices / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011170:Portasystemic Shunt, Surgical; D013164:Splenorenal Shunt, Surgical; D014057:Tomography, X-Ray Computed