Shah Omar Javed, Robbani Irfan
Department of Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar Kashmir, India.
Am Surg. 2005 Feb;71(2):184-6.
Surgical treatment of portal hypertension is undertaken to reduce the portal pressure to a level that allows recession of the collateral circulation. For this purpose, surgeons usually carry out anastomosis of the splenic vein with the left renal vein. The splenic vein is a large, nontortuous vessel that runs along the posterior surface of the pancreas but very rarely crosses in front of the gland. It is therefore important that a thorough preoperative study of the anatomical details of the spleno-portal venous axis be made by imaging before attempting surgery. We are presenting herewith the surgical management of a unique case of anteriorly placed splenic vein, which has not yet been described. The embryological basis of such an anomaly is discussed in this article.
进行门静脉高压症的外科治疗是为了将门静脉压力降低到能使侧支循环消退的水平。为此，外科医生通常会进行脾静脉与左肾静脉的吻合术。脾静脉是一条粗大、不迂曲的血管，沿胰腺后表面走行，但很少在胰腺前方交叉。因此，在尝试手术前，通过影像学对脾门静脉轴的解剖细节进行全面的术前研究非常重要。我们在此展示一例脾静脉前置的独特病例的手术处理，此前尚未见相关描述。本文还讨论了这种异常的胚胎学基础。
