Lieno-adrenal shunt.
Portal hypertension with variceal bleed and a well functioning liver is an indication for shunt surgery. The commonly performed procedure is the lieno-renal shunt. When the left adrenal vein is long enough, and of healthy diameter a spleno-adrenal shunt is possible. Most of the reported cases are of distal spleno-adrenal type. A case of proximal spleno-adrenal patent shunt with a follow-up two years is presented along with review of literature.
Pujahari
A K
AK
PG Department of Surgery, Command Hospital (IAF), Bangalore. akpuja@rediffmail.com
D000293:Adolescent; D000311:Adrenal Glands / Q000098:blood supply*; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery*; D008297:Male; D013164:Splenorenal Shunt, Surgical / Q000379:methods*; D016896:Treatment Outcome