Discovery of a new communication branch of the portal-vena cava system: Splenic vein-left ovarian vein

摘要

Advanced chronic liver disease (ACLD) has been proposed inrecent years and is mainly caused by chronic viral hepatitis,excessive alcohol use and metabolic factors (nonalcoholicfatty liver); the main causes of death from ACLD are com-plications of cirrhosis and hepatocellular carcinoma (HCC). 1An important clinical manifestation of cirrhotic back-doorhypertension is the opening of the traffic branch, whichmainly manifests as four traffic branches of the portal-venacava, namely, the traffic branches of the gastric fundus-lower esophagus, the traffic branches of the anal canal-lower rectum, the traffic branches of the anterior abdom-inal wall, and the retroperitoneal traffic branches, and themost serious complication is life-threatening varicosebleeding, in which rupture of the gastric fundal-esophagealvenous communication branch is the most common. Ac-cording to the data, approximately 50% of overseas patientswith cirrhosis suffer from different degrees of gastricfundal-esophageal varices, 2 while the risk of major venousbleeding in small varicose and large varicose veins is 5% and15%, respectively, and the 6-week mortality rate of patientswith massive bleeding is approximately 20%. 3 In this paper,we will report a rare case of hemorrhagic shock caused bythe opening of the communication branch of the splenicvein and left ovarian venous plexus and spontaneousrupture after cirrhosis (see Fig. 1).