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In medicine, a distal splenorenal shunt procedure (DSRS), also splenorenal shunt procedure and Warren shunt, [1] is a surgical procedure in which the distal splenic vein (a part of the portal venous system) is attached to the left renal vein (a part of the systemic venous system).
The splenic vein is formed from small venules that leave the spleen. It travels above the pancreas, alongside the splenic artery.It collects branches from the stomach and pancreas, and most notably from the large intestine (also drained by the superior mesenteric vein) via the inferior mesenteric vein, which drains in the splenic vein shortly before the origin of the hepatic portal vein.
Certain cases of splenic abscess; Certain cases of wandering spleen; Splenic vein thrombosis with bleeding Gastric varices; When platelets are destroyed in the spleen as a result of an auto-immune condition, such as idiopathic thrombocytopenic purpura. When the spleen bleeds following physical trauma; Following spontaneous rupture
The splenic vein sits over the pancreas anatomically. Inflammation or cancers of the pancreas may result in a blood clot forming in the splenic vein. As the short gastric veins of the fundus of the stomach drain into the splenic vein, thrombosis of the splenic vein will result in increased pressure and engorgement of the short veins, leading to ...
The short gastric veins, four or five in number, drain the fundus and left part of the greater curvature of the stomach, and pass between the two layers of the gastrolienal ligament to end in the splenic vein or in one of its large tributaries.
Measuring approximately 8 cm (3 inches) long in adults, [3] the portal vein is located in the right upper quadrant of the abdomen, originating behind the neck of the pancreas. [4] In most individuals, the portal vein is formed by the union of the superior mesenteric vein and the splenic vein. [5]
In human anatomy, the superior mesenteric vein (SMV) is a blood vessel that drains blood from the small intestine (jejunum and ileum). Behind the neck of the pancreas , the superior mesenteric vein combines with the splenic vein to form the portal vein that carries blood to the liver .
The left gastroepiploic vein (left gastro-omental vein) receives branches from the antero-superior and postero-inferior surfaces of the stomach and from the greater omentum; it runs from right to left along the greater curvature of the stomach and ends in the commencement of the splenic vein. The splenic vein and superior mesenteric vein join ...