Asymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing Adenoma
Portosystemic shunts frequently develop in patients with cirrhosis. However, congenital splenorenal shunts are rare anomalies in people without portal hypertension. Here, we present a case of a venous shunt between the spleen and left renal vein in a 57-year-old man with no history of liver cirrhosi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2009-12-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X0970573X |
| _version_ | 1818893609010724864 |
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| author | Yi-Ting Lin Chao-Hsiang Chang Wen-Chi Chen |
| author_facet | Yi-Ting Lin Chao-Hsiang Chang Wen-Chi Chen |
| author_sort | Yi-Ting Lin |
| collection | DOAJ |
| description | Portosystemic shunts frequently develop in patients with cirrhosis. However, congenital splenorenal shunts are rare anomalies in people without portal hypertension. Here, we present a case of a venous shunt between the spleen and left renal vein in a 57-year-old man with no history of liver cirrhosis, portal hypertension, or hepatic encephalopathy. The abnormal vessel was identified on preoperative contrast-enhanced computed tomography performed for diagnosis of a left adrenal aldosterone-producing adenoma. The shunt was safely ligated during transperitoneal laparoscopic left adrenalectomy. Excessive bleeding due to accidental injury of the shunting vessel during the procedure is a likely complication. Careful review of preoperative computed tomography images and cautious management of this type of shunt, especially in cirrhotic patients, can prevent this serious complication. |
| first_indexed | 2024-12-19T18:15:19Z |
| format | Article |
| id | doaj.art-6d8ecefc7d2f4b769fed76ea58f2e46e |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-19T18:15:19Z |
| publishDate | 2009-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-6d8ecefc7d2f4b769fed76ea58f2e46e2022-12-21T20:11:07ZengWileyKaohsiung Journal of Medical Sciences1607-551X2009-12-01251266967410.1016/S1607-551X(09)70573-XAsymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing AdenomaYi-Ting LinChao-Hsiang ChangWen-Chi ChenPortosystemic shunts frequently develop in patients with cirrhosis. However, congenital splenorenal shunts are rare anomalies in people without portal hypertension. Here, we present a case of a venous shunt between the spleen and left renal vein in a 57-year-old man with no history of liver cirrhosis, portal hypertension, or hepatic encephalopathy. The abnormal vessel was identified on preoperative contrast-enhanced computed tomography performed for diagnosis of a left adrenal aldosterone-producing adenoma. The shunt was safely ligated during transperitoneal laparoscopic left adrenalectomy. Excessive bleeding due to accidental injury of the shunting vessel during the procedure is a likely complication. Careful review of preoperative computed tomography images and cautious management of this type of shunt, especially in cirrhotic patients, can prevent this serious complication.http://www.sciencedirect.com/science/article/pii/S1607551X0970573Xadrenalectomycongenitallaparoscopyportosystemic encephalopathysplenorenal shunt |
| spellingShingle | Yi-Ting Lin Chao-Hsiang Chang Wen-Chi Chen Asymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing Adenoma Kaohsiung Journal of Medical Sciences adrenalectomy congenital laparoscopy portosystemic encephalopathy splenorenal shunt |
| title | Asymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing Adenoma |
| title_full | Asymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing Adenoma |
| title_fullStr | Asymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing Adenoma |
| title_full_unstemmed | Asymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing Adenoma |
| title_short | Asymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone-producing Adenoma |
| title_sort | asymptomatic congenital splenorenal shunt in a noncirrhotic patient with a left adrenal aldosterone producing adenoma |
| topic | adrenalectomy congenital laparoscopy portosystemic encephalopathy splenorenal shunt |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X0970573X |
| work_keys_str_mv | AT yitinglin asymptomaticcongenitalsplenorenalshuntinanoncirrhoticpatientwithaleftadrenalaldosteroneproducingadenoma AT chaohsiangchang asymptomaticcongenitalsplenorenalshuntinanoncirrhoticpatientwithaleftadrenalaldosteroneproducingadenoma AT wenchichen asymptomaticcongenitalsplenorenalshuntinanoncirrhoticpatientwithaleftadrenalaldosteroneproducingadenoma |