Distal splenocaval shunt as an alternative to distal splenorenal shunt in a patient with a retro-aortic left renal vein.J R Coll Surg Edinb. 1997 Oct; 42(5):359-60.JR
A 19-year-old patient with schistosomiasis and portal hypertension presented with bleeding oesophageal varices. A selective distal splenorenal shunt was planned. At surgery a retro-aortic left renal vein prevented a classical splenorenal anastomosis, and a distal splenocaval anastomosis was performed which is clinically patent at 18 months.