Anteriorly placed splenic vein: the first reported case.
Surgical treatment of portal hypertension is undertaken to reduce the portal pressure to a level that allows recession of the collateral circulation. For this purpose, surgeons usually carry out anastomosis of the splenic vein with the left renal vein. The splenic vein is a large, nontortuous vessel that runs along the posterior surface of the pancreas but very rarely crosses in front of the gland. It is therefore important that a thorough preoperative study of the anatomical details of the spleno-portal venous axis be made by imaging before attempting surgery. We are presenting herewith the surgical management of a unique case of anteriorly placed splenic vein, which has not yet been described. The embryological basis of such an anomaly is discussed in this article.
Shah
Omar Javed
OJ
Department of Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar Kashmir, India.
Robbani
Irfan
I
D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D006971:Hypersplenism / Q000150:complications / Q000601:surgery; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery; D010179:Pancreas / Q000473:pathology; D011169:Portal Vein / Q000002:abnormalities; D012082:Renal Veins / Q000601:surgery; D013156:Splenectomy; D013162:Splenic Vein / Q000002:abnormalities* / Q000601:surgery