The splenic vein
and superior mesenteric vein joined and drained directly into the hemiazygos vein without passing through the liver [Figure 1]c and [Figure 1]d.
The Natural History of Pancreatitis-Induced Splenic Vein
Catheters that directed to the portal or splenic veins
were defined as having an abnormal position.
Of the 7 cases of PVST in Splenectomy group II, there were 5 in the splenic vein
and 2 in the portal and splenic veins
In the Warshaw operation--a spleen-preserving distal pancreatectomy with splenic vein
resection--the splenic artery and vein are resected with the distal pancreas.
In non-cirrhotic patients, isolated gastric varices at the fundus could result from splenic vein
obstruction, which causes venous hypertension and the formation of splenoportal collaterals.
Since that time, however, they have been reported in association with a multitude of underlying diseases including portal or splenic vein
thrombosis, hemolytic anemia, hereditary hemochromatosis, acquired hemosiderosis, leukemia, lymphoma, and paroxysmal nocturnal hemoglobinuria.
We analyzed some demographic, clinical, and US variables, including right and left hepatic lobe size, spleen size, and portal, superior mesenteric, and splenic vein
measurement on US examination, ethanol consumption, HCV genotype, and grade of steatosis on liver biopsy.
Such a method of introduction of HFH has been chosen by us because splenic vein
has systemic blood flow with liver that allows the introducing during 20 minutes HFH immediately hit into hepatic tissue.
The pancreas was reflected cephalad and 8cm of splenic vein
was skeletonized off the inferior margin of the pancreas by ligature of its perforating branches.
Left radial vein GHRH level was 4800 pg/ml while splenic vein
GHRH level was 289000 pg/ ml.
In the context of firearm wounds injuring the pancreas to the left of the portal vein complex, a splenectomy is usually necessary but, in the young where the risk of overwhelming post-splenectomy infection (OPSI) is substantial and the injury isolated, time can be taken to preserve the spleen by dissecting the splenic vein
from the back of the pancreas.
Abdominal tomography showed diffuse thickening of the gastric rugae involving the entire fundus, a 33-mm diameter mass over the splenic vein
in the corpus, and pancreatic invasion.
In addition, the hepatic portal vein receives deoxygenated blood from the inferior and superior mesenteric veins and the splenic vein
2) In chronic pancreatitis, several factors may increase the risk of acute bleeding, such as duration of disease, proximity of the vessel to a pseudocyst, communication with the biliary or pancreatic ducts, and splenic vein
occlusion due to thrombosis.