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Spontaneous splenorenal shunt in a patient with antiphospholipid syndrome: the first case reported

M Vadacca

G Coppolino

F Buzzulini

A Rigon

D Zennaro

E Zardi

Department of Clinical Medicine, University "Campus Bio-Medico" of Rome, Rome, Italy

A Afeltra

Department of Clinical Medicine, University "Campus Bio-Medico" of Rome, Via E. Longoni, 83, 00155 Rome, Italy a.afeltra{at}unicampus.it

The antiphospholipid syndrome (APS) is an autoimmune disorder, characterized by a wide spectrum of clinical manifestations. Thromboembolic events, with a greater involvement of extremities veins, are the most common features, and obstruction of abdominal vessels are sporadically reported. We present a singular case of a patient with primary APS (PAPS) that developed a spontaneous splenorenal shunt, secondary to a total portal, mesenteric and splenic vein thrombosis. Spontaneous splenorenal shunt, an uncommon circumstance reported in cirrhotic disease, to the best of our knowledge, has not been previously described in PAPS.

Key Words: Color-Doppler sonography • primary antiphospholipid syndrome • spontaneous splenorenal shunt • total portal thrombosis

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