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  • Title: Distal splenocaval shunt as an alternative to distal splenorenal shunt in a patient with a retro-aortic left renal vein.
    Author: Madiba TE, Thomson SR, Neijenhuis PA.
    Journal: J R Coll Surg Edinb; 1997 Oct; 42(5):359-60. PubMed ID: 9354076.
    Abstract:
    A 19-year-old patient with schistosomiasis and portal hypertension presented with bleeding oesophageal varices. A selective distal splenorenal shunt was planned. At surgery a retro-aortic left renal vein prevented a classical splenorenal anastomosis, and a distal splenocaval anastomosis was performed which is clinically patent at 18 months.
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