Successful use of direct Splenic Vein anastomosis to the interposition Internal Jugular Vein graft after extended pancreatoduodenectomy to avoid sinistral portal hypertension.

Case Report

Open Access Gateway Dhakre V.W. · Suryawanshi S.S. · Shewale V.P. · Rathod C. · Galande S.T. · Sethna K.S.
Abstract

Splenic vein ligation may be needed during Porto-mesenteric junction resection, in pancreatoduodenectomy. Sinistral portal hypertension is a concern if the splenic vein is not drained. Various techniques are described to reconstruct the splenic vein to avoid the variceal formation and sinistral portal hypertension which may lead to GI bleeding. We describe a case of a 19-year female who underwent pancreatoduodenectomy for solid-pseudopapillary neoplasm with portal-superior mesenteric vein junction resection, splenic venous was anastomosed into the interposition graft. We here share our unique experience of using an interposition IJV graft for a long venous defect and diverging morbidity of sinistral portal hypertension.

The Author(s). Published by S. Karger AG, Basel

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