Omphalocaval shunt post traumatic splenectomy in a cirrhotic patient

Abstract

Omphalocaval shunt post traumatic splenectomy in a cirrhotic patientThe authors present a case of omphalocaval shunting for haemorrhage control in a cirrhotic patient following traumatic splenectomy.A 42-year-old patient presented to the emergency department 3 days post blunt trauma to the abdomen. Her past medical history included Child-Pugh C alcoholic liver cirrhosis with coagulopathy, pancytopenia and hepatosplenomegaly, with no varices on most recent endoscopy. On presentation, she was haemodynamically stable, with left upper quadran (LUQ) tenderness and left flank haematoma, haemoglobin of 85 g/L, platelets of 23 × 10 9 , international normalised ratio (INR) of 2.5, total bilirubin of 200 μmol/L and albumin of 24 g/L.