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ARTICLE |

Splenoportography FREE

Murray G. Baron, MD; Bernard S. Wolf, MD
[+] Author Affiliations

Reprint requests to 1 E 100th St, New York (Dr. Wolf).


JAMA. 1968;206(3):629-634. doi:10.1001/jama.1968.03150030085020
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In 1951, Abeatici and Campi1 demonstrated that there was free vascular communication between the splenic pulp and the portal venous system. Soon thereafter, Leger2 performed the first successful splenoportogram in a human. Contrast material injected directly into the substance of the spleen flowed rapidly through multiple venous radicles into the splenic vein and then into the portal vein and liver, opacifying these structures in turn. In the past 15 years, percutaneous splenoportography has come into wide use and has made a major contribution in delineation of the pathologic anatomy and hemodynamics in patients with portal hypertension.3-6

The portal vein (Fig 1) is formed by the confluence of the splenic and superior mesenteric veins behind the neck of the pancreas overlying the vertebral bodies of L-1 and L-2. The portal vein courses upward and to the right behind the first portion of the duodenum and enters the liver

REFERENCES

Abeatici, S., and Campi, L.:  La visualizazione radiologica della porta per via splenica , Minerva Med 52:593, 1951;.
Leger, L.:  Phlébographie portale par injection splénique intraparenchymateuse , Med Acad chir 77:712, 1951;.
Figley, M.M.:  Splenoportography: Some Advantages and Disadvantages , Amer J Roentgenol 80:313, 1958;.
Bergstrand, I., and Ekman, C.A.:  Percutaneous Lieno-Portal Venography, Technique and Complications , Acta Radiol 47:267, 1957;.
Frimann-Dahl, J.: " Percutaneous Splenoportography : in McLaren, J.W. (ed.): Modern Trends in Diagnostic Radiology , New York: Paul B. Hoeber, Inc., 1960;.
Graafland, A.B.J.:  Splenoportography , Medicamundi 9:25-39, 1963;.
Kessler, R.E., and Zimmon, D.S.:  Umbilical Vein Angiography , Radiology 87:841 ( (Nov) ) 1966;.
Bierman, H.R.: " Percutaneous Transhepatic Portal Phlebography " in Schobinger, R.A., and Ruzicka, F.F., Jr. (eds.): Vascular Roentgenology , New York: Macmillan Co., 1964;.
Baron, M.G., and Wolf, B.S.: " Splenoportography : in Popper, H., and Schaffner, F. (eds.): Progress in Liver Diseases , New York: Grune & Stratton, Inc., 1961;, vol 1.
Doehner, G.A., et al:  The Portal Venous System; On Its Pathological Roentgen Anatomy , Radiology , 66:206 ( (Feb) ) 1956;.
Bergstrand, I.:  The Localization of Portal Obstruction by Splenoportography , Amer J Roentgen 85:1111 ( (June) ) 1961;.
Ruzicka, F.F., Jr.; Bradley, E.G.; and Rousselot, L.M.:  The Intrahepatic Vasculogram and Hepatogram in Cirrhosis Following Percutaneous Splenic Injection , Radiology 71:175 ( (Aug) ) 1958;.
Burchell, A.R., et al:  Some Limitations of Splenic Portography: I. Incidence, Hemodynamics and Surgical Implications of the Nonvisualized Portal Vein , Ann Surg 162:980 ( (Dec) ) 1965;.
Steiner, R.E.; Sherlock, S.; and Turner, M.D.:  Percutaneous Splenic Portal Venography , J Faculty Radiologists , 8:158, 1957;.
Evans, K.T.:  Oesophageal and Gastric Varices , Brit J Radiol 32:233-240 ( (April) ) 1959;.
Laws, J.W.; Leigh, R.; and Steiner, R.E.:  Extrahepatic Portal Vein Obstruction , Brit J Radiol 32:774 ( (Dec) ) 1959;.
Ekengren, K.; Reuterskiöld, A.; and Soderlund, S.:  Preand Postoperative Appearances of Splanchnic Veins in Children With Portal Hypertension , Acta Radiol 3:97-114 ( (March) ) 1965;.
Helander, C.G., et al:  Venographic and Scintillographic Demonstration of Liver Metastases , Acta Radiol 50:533 ( (Dec) ) 1958;.
Arner, O., and Fernström, I:  The Value of Splenoportography in the Diagnosis of Malignant Metastases in the Liver and in the Assessment of the Operability of Malignant Tumours of the Stomach and Pancreas , Acta Chir Scand 129:615 ( (June) ) 1965;.
Ruzicka, F.F., Jr., et al:  Value of Splenic Portography in the Diagnosis of Intrahepatic and Extrahepatic Neoplasm , Amer J Med 29:434 ( (Sept) ) 1960;.
Moseley, R.D., Jr.:  Diagnosis of Tumors of the Pancreas With the Aid of Pneumoretroperitoneal Pancreatography and Splenoportography , Amer J Roentgen 80:967 ( (Dec) ) 1958;.

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Abeatici, S., and Campi, L.:  La visualizazione radiologica della porta per via splenica , Minerva Med 52:593, 1951;.
Leger, L.:  Phlébographie portale par injection splénique intraparenchymateuse , Med Acad chir 77:712, 1951;.
Figley, M.M.:  Splenoportography: Some Advantages and Disadvantages , Amer J Roentgenol 80:313, 1958;.
Bergstrand, I., and Ekman, C.A.:  Percutaneous Lieno-Portal Venography, Technique and Complications , Acta Radiol 47:267, 1957;.
Frimann-Dahl, J.: " Percutaneous Splenoportography : in McLaren, J.W. (ed.): Modern Trends in Diagnostic Radiology , New York: Paul B. Hoeber, Inc., 1960;.
Graafland, A.B.J.:  Splenoportography , Medicamundi 9:25-39, 1963;.
Kessler, R.E., and Zimmon, D.S.:  Umbilical Vein Angiography , Radiology 87:841 ( (Nov) ) 1966;.
Bierman, H.R.: " Percutaneous Transhepatic Portal Phlebography " in Schobinger, R.A., and Ruzicka, F.F., Jr. (eds.): Vascular Roentgenology , New York: Macmillan Co., 1964;.
Baron, M.G., and Wolf, B.S.: " Splenoportography : in Popper, H., and Schaffner, F. (eds.): Progress in Liver Diseases , New York: Grune & Stratton, Inc., 1961;, vol 1.
Doehner, G.A., et al:  The Portal Venous System; On Its Pathological Roentgen Anatomy , Radiology , 66:206 ( (Feb) ) 1956;.
Bergstrand, I.:  The Localization of Portal Obstruction by Splenoportography , Amer J Roentgen 85:1111 ( (June) ) 1961;.
Ruzicka, F.F., Jr.; Bradley, E.G.; and Rousselot, L.M.:  The Intrahepatic Vasculogram and Hepatogram in Cirrhosis Following Percutaneous Splenic Injection , Radiology 71:175 ( (Aug) ) 1958;.
Burchell, A.R., et al:  Some Limitations of Splenic Portography: I. Incidence, Hemodynamics and Surgical Implications of the Nonvisualized Portal Vein , Ann Surg 162:980 ( (Dec) ) 1965;.
Steiner, R.E.; Sherlock, S.; and Turner, M.D.:  Percutaneous Splenic Portal Venography , J Faculty Radiologists , 8:158, 1957;.
Evans, K.T.:  Oesophageal and Gastric Varices , Brit J Radiol 32:233-240 ( (April) ) 1959;.
Laws, J.W.; Leigh, R.; and Steiner, R.E.:  Extrahepatic Portal Vein Obstruction , Brit J Radiol 32:774 ( (Dec) ) 1959;.
Ekengren, K.; Reuterskiöld, A.; and Soderlund, S.:  Preand Postoperative Appearances of Splanchnic Veins in Children With Portal Hypertension , Acta Radiol 3:97-114 ( (March) ) 1965;.
Helander, C.G., et al:  Venographic and Scintillographic Demonstration of Liver Metastases , Acta Radiol 50:533 ( (Dec) ) 1958;.
Arner, O., and Fernström, I:  The Value of Splenoportography in the Diagnosis of Malignant Metastases in the Liver and in the Assessment of the Operability of Malignant Tumours of the Stomach and Pancreas , Acta Chir Scand 129:615 ( (June) ) 1965;.
Ruzicka, F.F., Jr., et al:  Value of Splenic Portography in the Diagnosis of Intrahepatic and Extrahepatic Neoplasm , Amer J Med 29:434 ( (Sept) ) 1960;.
Moseley, R.D., Jr.:  Diagnosis of Tumors of the Pancreas With the Aid of Pneumoretroperitoneal Pancreatography and Splenoportography , Amer J Roentgen 80:967 ( (Dec) ) 1958;.
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