Spleno-adrenal shunt: A feasible alternative to splenorenal shunt in extrahepatic portal hypertension

Authors

  • Yugal Limbu MCh Resident, Gastroenterology Unit, Department of General Surgery, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0001-7376-5926
  • Sujan Regmee MCh Resident, Gastroenterology Unit, Department of General Surgery, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0002-7355-6531
  • Dhiresh Kumar Maharjan Assistant Professor, Gastroenterology Unit, Department of General Surgery, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0001-9212-3179
  • Prabin Bikram Thapa Professor and Head, Gastroenterology Unit, Department of General Surgery, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal https://orcid.org/0000-0002-9899-9275

Keywords:

Anastomosis, Child, Portal Hypertension, Splenorenal shunt

Abstract

Extrahepatic portal hypertension (EHPVO) is a common cause of portal hypertension in children. Surgical Porto-systemic shunt operation is often required when they do not respond to medical or endoscopic interventions. Among various types of shunt surgery, the proximal splenorenal shunt, also known as the Linton’s shunt is a viable option with good outcome. The modification of the proximal splenorenal shunt is the spleno-adrenal shunt which has been sparsely described in literature. This is a case of EHPVO managed with spleno-adrenal venous anastomosis highlighting the main advantages of using the adrenal vein as a conduit when performing a splenorenal shunt.

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Published

2021-11-23

How to Cite

Limbu, Y., Regmee, S., Maharjan, D. K., & Thapa, P. B. (2021). Spleno-adrenal shunt: A feasible alternative to splenorenal shunt in extrahepatic portal hypertension. Journal of Kathmandu Medical College, 10(2), 92–94. Retrieved from https://www.nepjol.info/index.php/JKMC/article/view/40061

Issue

Vol. 10 No. 2 (2021)

Section

Case Reports

License

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