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Philips CA, Anand L, Kumar KN, et al. Rare, spontaneous trans-splenic shunt and intra-splenic collaterals with attendant splenic artery aneurysms in an adult patient with compensated cirrhosis and portal hypertension. Gastroenterol Rep (Oxf). 2014;3(2):162-6doi: 10.1093/gastro/gou047.
Philips, C. A., Anand, L., Kumar, K. N., Kasana, V., & Arora, A. (2015). Rare, spontaneous trans-splenic shunt and intra-splenic collaterals with attendant splenic artery aneurysms in an adult patient with compensated cirrhosis and portal hypertension. Gastroenterology report, 3(2), 162-6. https://doi.org/10.1093/gastro/gou047
Philips, Cyriac Abby, et al. "Rare, spontaneous trans-splenic shunt and intra-splenic collaterals with attendant splenic artery aneurysms in an adult patient with compensated cirrhosis and portal hypertension." Gastroenterology report vol. 3,2 (2015): 162-6. doi: https://doi.org/10.1093/gastro/gou047
Philips CA, Anand L, Kumar KN, Kasana V, Arora A. Rare, spontaneous trans-splenic shunt and intra-splenic collaterals with attendant splenic artery aneurysms in an adult patient with compensated cirrhosis and portal hypertension. Gastroenterol Rep (Oxf). 2015 May;3(2):162-6. doi: 10.1093/gastro/gou047. Epub 2014 Jul 09. PMID: 25008262; PMCID: PMC4423456.
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Gastroenterol Rep (Oxf). 2015 May;3(2):162-6. doi: 10.1093/gastro/gou047. Epub 2014 Jul 09.

Rare, spontaneous trans-splenic shunt and intra-splenic collaterals with attendant splenic artery aneurysms in an adult patient with compensated cirrhosis and portal hypertension.

Gastroenterology report

Cyriac Abby Philips, Lovkesh Anand, K N Chandan Kumar, Vivek Kasana, Ankur Arora

Affiliations

  1. Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India and Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, India.
  2. Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India and Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, India [email protected].

PMID: 25008262 PMCID: PMC4423456 DOI: 10.1093/gastro/gou047

Abstract

We present a rare case of spontaneous trans-splenic shunt and intra-splenic collaterals in a patient with liver cirrhosis and portal hypertension. The shunt and presence of cirrhosis and portal hypertension was incidentally detected by abdominal computed tomographic imaging during evaluation for abdominal pain. There has been a single report on the presence of trans-splenic shunt in two children with extra-hepatic portal venous obstruction but no cases that report intra-splenic collaterals: to the best of our knowledge, this is the first reported case of spontaneous trans-splenic shunt in the presence of intra-splenic collaterals and incidental multiple splenic artery aneurysms that developed in an adult with compensated cirrhosis and portal hypertension.

© The Author(s) 2014. Published by Oxford University Press and the Digestive Science Publishing Co. Limited.

Keywords: cirrhosis; collateral pathways; portal hypertension; portosystemic shunts; splenomegaly

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