Friday, March 18, 2011

CASE: NCPF + hypersplenism --> PSRS (Proxymal Spleno Renal Shunt)^-www.drkeyurbhatt.in*

35 yrs female with 5-6 yrs history of PORTAL hypertension (NCPF) non cirrhotic portal fibrosis
UGIE: S/O Grade 3 multiple columns of varices in GE junction, PGP+, IGV+.
DOPPLER : S/O Portal vein diameter 2 cm . splenic vein 12 mm. with multiple colaterals.& massive splenomegaly.Liver slightly bright in echotexture, left renal vein normal.

Clinically : pallor ++ with spleen reaching in RIF.

LFT : Normal
TLC : 2000./ cmm        Hb : 6 gm / dl
PLATELATE : 22,000 / cmm

SURGERY: SPLENECTOMY AND PROXIMAL SPLENO RENAL SHUNT.





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