Open AccessIsolated inferior mesenteric portal hypertension with giant inferior mesenteric vein and anomalous inferior mesenteric vein insertion
Author(s) -
G Raghavendra Prasad,
Srikar Billa,
Pavaneel Bhandari,
Aijaz Hussain
Publication year - 2013
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/0971-9261.109362
Subject(s) - medicine , inferior mesenteric vein , mesenteric vein , superior mesenteric vein , portal hypertension , inferior vena cava , right gastric vein , bleed , anastomosis , radiology , varices , surgery , portal venous pressure , portal vein , cirrhosis
Extrahepatic portal hypertension is not an uncommon disease in childhood, but isolated inferior mesenteric portal varices and lower gastrointestinal (GI) bleed have not been reported till date. A 4-year-old girl presented with lower GI bleed. Surgical exploration revealed extrahepatic portal vein obstruction with giant inferior mesenteric vein and colonic varices. Inferior mesenteric vein was joining the superior mesenteric vein. The child was treated successfully with inferior mesenteric - inferior vena caval anastomosis. The child was relieved of GI bleed during the follow-up.