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PORTOSYSTEMIC ANASTOMOSIS
BY: SHAM AMIRUL TAKIN AQIL EDIE

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INTRODUCTION

Portosystemic anastomosis also known as portacaval anastomosis. Specific type of anastomosis that occur between the vein of portal circulation and those of systemic circulation Anastomosis: reconnection of two streams that previously branched out, such as blood vessels or leaf veins

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PORTOSYSTEMIC ANASTOMOSIS
REGIONS :
1. 2. 3. 4. 5.

DISTAL END OF ESOPHAGUS RECTAL PARAUMBILICAL RETROPERITONEAL PATENT DUCTUS VENOSUS

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1) DISTAL END OF ESOPHAGUS

at cardio-esophageal junction circulation : azygos vein

Systemic

Portal

circulation : left gastric vein

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2) RECTAL
At

the wall of rectum and anal canal circulation :

Systemic

v inferior rectal vein v middle rectal vein

Portal

circulation : superior rectal vein

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3) PARAUMBILICAL
Name

of clinical condition : Caput Medusae circulation : Paraumbilical Veins

Portal

Systemic

circulation : Superficial Epigastic Veins.

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CAPUT MEDUSAE

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 Consists

of dilated veins on the abdomen of a patient with cirrhosis of the liver. by :

Caused

Liver

disease,chronic hepatitis C and heart failure.

Sign

of severe portal hypertension with 4/14/12 portal-systemic shunting through the

ANASTOMOSIS (COLORECTAL Joining together two hollow organs restore SURGERY) continuity after resection. (anastomosed)
Surgical anastomosis can either be done by side to side, end to end or end to side manner.

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