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Surgery General ff1131b6

Splenic vein thrombosis is best treated by -

A
Splenectomy
B
Porto-caval shunt
C
Spleno-renal shunt
D
Mesenterico-caval shunt
High-Yield Explanation
• Portal hypertension due to isolated splenic vein thrombosis is known as left sided portal hypertension or sinistral hypertension. • Pressure in portal vein and SMV are normal • There is gastrosplenic venous hypertension leading to formation of gastric varices Causes • Pancreatitis (MC)  leading to splenic vein thrombosis • Neoplasm, Trauma Treatment • Splenectomy is the treatment of choice

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