Splenorenal shunt

Case contributed by Dr Bruno Di Muzio

Presentation

Ignored medical history.

Patient Data

Age: 60
Gender: Male

CT Abdomen

Modality: CT

There are varicosities along the gastric fundus and splenic hilum that correspond to an abnormal collateral portosystemic communication between the splenic vein and left renal vein. Splenomegaly is also present (430 cm³). Splenic vein is preserved. 

Case Discussion

This case shows a portocaval collateral system developed as a reaction of the vascular system to high portal pressure. This system induces a decrease in portal pressure with blood bypassing liver direct to IVC which may result in complications such as hepatic encephalopathy. 

PlayAdd to Share

Case Information

rID: 31048
Case created: 17th Sep 2014
Last edited: 1st Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.