Dangerous course and atypical termination of the splenic vein in relation to pancreas – a case report

Satheesha Nayak Badagabettu*, Surekha D. Shetty, Deepthinath Regunathan, Bincy M. George, Snigdha Mishra, Srinivasa Rao Sirasanagandla

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Case report During our dissection classes, we noted the variations in the course and termination of the splenic vein. After emerging from the spleen, it coursed upward and to the right, embedded in a groove on the anterior surface of body of pancreas. After reaching the upper border, it turned downwards and entered the body of the pancreas. After having a downward course in the body of pancreas, it emerged out and united with the superior mesenteric vein at an angle of about 160 degrees to form the portal vein.

Conclusion This peculiar course of the vein might predispose it for thrombosis in case of pancreatitis. It can also lead to iatrogenic injuries during pancreatic or splenic surgeries.

Context Knowledge of variations of the vessels closely related to the pancreas adds greatly to the success of pancreatic surgery. Splenic vein is one of the vessels that are closely related to the pancreas. Its variations might not only change the haemodynamics in the vein but also cause unexpected bleeding during pancreatic surgery.

Original languageEnglish
Pages (from-to)609-610
Number of pages2
JournalJournal of the Pancreas
Volume15
Issue number6
Publication statusPublished - 2014
Externally publishedYes

Keywords

  • Mesenteric veins
  • Pancreas
  • Portal vein
  • Spleen
  • Splenic vein

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

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