title: Anteriorly placed splenic vein: the first reported case.
abstract: 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.
authors: Department of Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar Kashmir, India.
authors: Omar Javed
authors: OJ
authors: Shah
authors: Irfan
authors: I
authors: Robbani
mesh_terms: 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