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Porto-systemic shunt using adrenal vein as a conduit; an alternative procedure for spleno--renal shunt.
BMC Surg. 2007 Jun 07; 7:7.BS

Abstract

BACKGROUND

Currently, portal hypertension is still big problem for the patients with serious liver diseases. Variceal bleeding is one of the most important complications of portal hypertension. In case of failure of endoscopic and combined medical treatments, surgical decompressive shunts are required. We emphasized an alternative splenorenal shunt procedure using adrenal vein as a conduit.

CASE PRESENTATION

A 26-year-old male suffered from recurrent variceal bleeding was considered for surgical therapy. Although we planned to perform a distal splenorenal shunt procedure, it was observed to be difficult. Therefore left adrenal vein was used as a conduit between left renal vein and splenic vein after splenic artery was ligated. He did well and was discharged from the hospital on the postoperative day 6. In the follow up period for nine months, endoscopic and ultrasonographic examinations were normal.

CONCLUSION

We concluded that, in case of failure to perform distal splenorenal shunt due to technical problems, alternative porto-systemic shunt procedure using the adrenal vein as a vascular conduit can be safely employed.

Authors+Show Affiliations

Ege University School of Medicine, Department of Surgery, Izmir, Turkey. drunalaydin@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17555599

Citation

Aydin, Unal, et al. "Porto-systemic Shunt Using Adrenal Vein as a Conduit; an Alternative Procedure for Spleno--renal Shunt." BMC Surgery, vol. 7, 2007, p. 7.
Aydin U, Yazici P, Kilic M. Porto-systemic shunt using adrenal vein as a conduit; an alternative procedure for spleno--renal shunt. BMC Surg. 2007;7:7.
Aydin, U., Yazici, P., & Kilic, M. (2007). Porto-systemic shunt using adrenal vein as a conduit; an alternative procedure for spleno--renal shunt. BMC Surgery, 7, 7.
Aydin U, Yazici P, Kilic M. Porto-systemic Shunt Using Adrenal Vein as a Conduit; an Alternative Procedure for Spleno--renal Shunt. BMC Surg. 2007 Jun 7;7:7. PubMed PMID: 17555599.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Porto-systemic shunt using adrenal vein as a conduit; an alternative procedure for spleno--renal shunt. AU - Aydin,Unal, AU - Yazici,Pinar, AU - Kilic,Murat, Y1 - 2007/06/07/ PY - 2006/11/05/received PY - 2007/06/07/accepted PY - 2007/6/9/pubmed PY - 2007/8/22/medline PY - 2007/6/9/entrez SP - 7 EP - 7 JF - BMC surgery JO - BMC Surg VL - 7 N2 - BACKGROUND: Currently, portal hypertension is still big problem for the patients with serious liver diseases. Variceal bleeding is one of the most important complications of portal hypertension. In case of failure of endoscopic and combined medical treatments, surgical decompressive shunts are required. We emphasized an alternative splenorenal shunt procedure using adrenal vein as a conduit. CASE PRESENTATION: A 26-year-old male suffered from recurrent variceal bleeding was considered for surgical therapy. Although we planned to perform a distal splenorenal shunt procedure, it was observed to be difficult. Therefore left adrenal vein was used as a conduit between left renal vein and splenic vein after splenic artery was ligated. He did well and was discharged from the hospital on the postoperative day 6. In the follow up period for nine months, endoscopic and ultrasonographic examinations were normal. CONCLUSION: We concluded that, in case of failure to perform distal splenorenal shunt due to technical problems, alternative porto-systemic shunt procedure using the adrenal vein as a vascular conduit can be safely employed. SN - 1471-2482 UR - https://www.unboundmedicine.com/medline/citation/17555599/Porto_systemic_shunt_using_adrenal_vein_as_a_conduit L2 - https://bmcsurg.biomedcentral.com/articles/10.1186/1471-2482-7-7 DB - PRIME DP - Unbound Medicine ER -