Use of adrenal vein conduit for splenorenal shunts: a case report.
We report a case with extrahepatic portal venous obstruction (EHPVO), who presented with recurrent bleeding following a previous devascularization procedure and needed an emergency distal spleno-renal shunt (DSRS). Due to technical difficulty because of previous scarring, the adrenal vein was used as a conduit between the splenic vein and renal vein. The shunt's patent and the patient has been bleed-free for 2 years.
Kulkarni
V M
VM
Department of General Surgery, Seth G.S. Medical College, K.E.M. Hospital, Parel, Mumbai, India.
Nagral
S S
SS
Mathur
S K
SK
D000293:Adolescent; D000311:Adrenal Glands / Q000098:blood supply*; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery*; D008297:Male; D012008:Recurrence; D012086:Reoperation; D013162:Splenic Vein / Q000601:surgery; D013164:Splenorenal Shunt, Surgical / Q000379:methods*; D014680:Veins / Q000601:surgery