Open AccessAsymptomatic Congenital Splenorenal Shunt in a Noncirrhotic Patient With a Left Adrenal Aldosterone‐producing Adenoma
Author(s) -
Lin YiTing,
Chang ChaoHsiang,
Chen WenChi
Publication year - 2009
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70573-x
Subject(s) - medicine , cirrhosis , portal hypertension , shunt (medical) , asymptomatic , portosystemic shunt , complication , surgery , radiology , portography , aldosterone , splenic vein , hyperaldosteronism
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.