Sakai H, Sakamoto S, Nawata H, Imamura K, Hirose S
Third Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Hepatogastroenterology. 1992 Jun;39(3):280-1.
We report a case of liver cirrhosis with a rare portosystemic shunt via the right testicular vein. Angiographic examination demonstrated two major hepatofugal collateral pathways. First, the enlarged and tortous left gastric and short gastric veins which drain into the left renal vein after forming varices in the stomach. Second, the superior mesenteric vein forms the large mesenteric varices which drain into the inferior vena cava via the enlarged right testicular vein, which is a very rare shunt.
我们报告一例肝硬化患者，其存在通过右侧睾丸静脉的罕见门体分流。血管造影检查显示两条主要的肝外分流旁道。其一，扩张迂曲的胃左静脉和胃短静脉在胃内形成静脉曲张后汇入左肾静脉。其二，肠系膜上静脉形成巨大的肠系膜静脉曲张，经扩张的右侧睾丸静脉汇入下腔静脉，这是一种非常罕见的分流。
