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Title: A rare case of trans-splenic recanalization of extrahepatic portal vein occlusion in post-transplant pediatric recipient with situs inversus.
e-poster Number: EPOS 4
Category: e Poster
Author Name: Dr. Vivek Mavani
Institute:
Co-Author Name:
Abstract :
Endovascular approach for occluded extrahepatic portal vein in post transplant patient can be made usually by transhepatic approach. Although the transsplenic approach can be used when there is difficulty in cannulating portal vein and it provide a pathway for accessing the portal venous system, while avoiding potential injury to the liver transplant .Recanalization of the extrahepatic portal vein via trans-splenic access is a rarely reported procedure in post-transplant patient especially in pediatric patient , particularly in patients with complex anatomical variations such as situs inversus. Here ,We present the case of a post-liver transplant baby with situs inversus who extrahepatic portal vein thrombosis. Utilizing trans-splenic access, interventional radiology successfully recanalized the occluded extrahepatic portal vein, restoring normal portal flow. The procedure was technically challenging due to altered anatomy, but it was completed without major complications. Post-procedurally, the patient demonstrated significant clinical improvement, with stable graft function.
This case highlights the feasibility and efficacy of trans-splenic access for portal vein recanalization in complex patients, including those with situs inversus and post-transplant status.
