Open AccessSpontaneous splenoazygos shunt in a patient with portal hypertension: an exceedingly rare occurrence
Author(s) -
Filipa Figueiredo,
João Costa,
Raquel Lameiras,
Miguel Ramalho
Publication year - 2019
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2019.6091/2018
Subject(s) - medicine , portal hypertension , azygos vein , magnetic resonance imaging , shunt (medical) , radiology , splenic vein , cirrhosis , mediastinum , portal vein , portal venous pressure , decompression , surgery
We present a case of a spontaneous splenoazygos shunt in a patient with liver cirrhosis and portal hypertension, detected by abdominal magnetic resonance imaging. Multiplanar reconstruction demonstrated communication of the splenic vein with the azygos vein that was dilated with a winding course along the mediastinum. This pathway for decompression of the portal vein is an exceedingly rare occurrence.