Ligation of Left Renal Vein for Spontaneous Splenorenal Shunt to Prevent Portal Hypoperfusion after Orthotopic Liver Transplantation: A Case Report

2012 ◽  
Vol 94 (10S) ◽  
pp. 621
Author(s):  
L. Kousoulas ◽  
K. I. Ringe ◽  
M. Winkler ◽  
F. Lehner ◽  
N. Richter ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Case Report ◽  
Orthotopic Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Splenorenal Shunt ◽  
Portal Hypoperfusion

scholarly journals Ligation of Left Renal Vein for Spontaneous Splenorenal Shunt to Prevent Portal Hypoperfusion after Orthotopic Liver Transplantation

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Lampros Kousoulas ◽  
Kristina Imeen Ringe ◽  
Michael Winkler ◽  
Frank Lehner ◽  
Nicolas Richter ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Orthotopic Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Chronic Kidney Failure ◽  
Splenorenal Shunt ◽  
Portal Flow ◽  
Portal Hypoperfusion ◽  
Severe Coagulopathy

We report a case of recovered portal flow by ligation of the left renal vein on the first postoperative day after orthotopic liver transplantation of a 54-year-old female with alcoholic liver cirrhosis, chronic kidney failure, and spontaneous splenorenal shunt. After reperfusion, Doppler ultrasonography showed almost total diversion of the portal flow into the existing splenorenal shunt, but because of severe coagulopathy and diffuse bleeding, ligation of the shunt was not attempted. A programmed relaparotomy was performed on the first postoperative day, and the left renal vein was ligated just to the left of the inferior vena cava. Portal flows subsequently increased to 37 cm/sec, and the patient presented a good and stable liver function. We conclude that patients with known preoperative splenorenal shunts should be closely monitored, and if the portal flow becomes insufficient, ligation of the left renal vein should be attempted in order to optimize the portal perfusion of the liver.

scholarly journals A Case of Left Renal Vein Ligation in a Patient with Solitary Left Kidney Undergoing Liver Transplantation to Control Splenorenal Shunt and Improve Portal Venous Flow

2017 ◽  
Vol 18 ◽  
pp. 1086-1089
Author(s):  
Rodrigo B. Martino ◽  
Eserval Rocha Júnior ◽  
Valdano Manuel ◽  
Vinicius Rocha-Santos ◽  
Luis Augusto C. D\'Albuquerque ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Left Kidney ◽  
Splenorenal Shunt ◽  
Portal Venous Flow ◽  
Venous Flow

Left renal vein ligation for large splenorenal shunt during liver transplantation

2017 ◽  
Vol 87 (10) ◽  
pp. 767-772 ◽  
Author(s):  
Rui Tang ◽  
Dongdong Han ◽  
Modan Li ◽  
Shan Shen ◽  
Xin Huang ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Splenorenal Shunt

Aneurysm of the communicating vein between the left renal vein and left ascending lumbar vein mimicking a retroperitoneal lymphadenopathy: A case report

2020 ◽  
Vol 16 ◽  
Author(s):  
Sevtap Arslan ◽  
Yasin Sarıkaya ◽  
Musturay Karcaaltincaba ◽  
Ali Devrim Karaosmanoglu
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Testicular Cancer ◽  
Renal Vein ◽  
Medical Center ◽  
Left Renal Vein ◽  
Severe Bleeding ◽  
Lumbar Vein ◽  
Ascending Lumbar Vein ◽  
Communicating Vein

Introduction: Aneurysm of the communicating vein between the left renal vein and left ascending lumbar vein is extremely rare with only anecdotal reported cases. Unless detected and recognized promptly, this rare condition may give rise to severe bleeding in patients undergoing retroperitoneal surgery. It may also closely mimic enlarged retroperitoneal lymph nodes, paragangliomas, adrenal masses, or renal artery aneurysms. Case report: In this case study, we reported the imaging findings of this rare entity which was falsely diagnosed as enlarged retroperitoneal lymph node in an outside medical center, reported as to be consistent with metastatic disease, in a patient with newly diagnosed testicular cancer. Conclusion: The aneurysm of the communicating vein should be considered in the differential diagnosis in patients with testicular cancer and other disease processes where lymph nodes are commonly affected.

Renal Implications of Left Renal Vein Ligation for Portal Flow Augmentation in Liver Transplantation

2021 ◽  
Author(s):  
Sadhana Shankar ◽  
Ashwin Rammohan ◽  
Balaji Balasubramanian ◽  
Kumar Palaniappan ◽  
Rajesh Rajalingam ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Portal Flow
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