CT Results: Splenorenal shunt

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ailsa
Regular Member


Date Joined Nov 2009
Total Posts : 35
   Posted 3/8/2010 5:03 PM (GMT -7)   
idea I had a ct, and the nurse reports I have a splenorenal shunt. and it's no big deal. (I also have hemolytic anemia w/ enlarged spleen). I looked this up on line, and understand it is a way for blood to bypass the  liver, due to my portal hypertension. My hemoglobin is 9. Can anyone help me put this new info together. thanks!

DGinSD
Forum Moderator


Date Joined Apr 2007
Total Posts : 839
   Posted 3/8/2010 5:29 PM (GMT -7)   
Ailsa,
 
So the nurse said you should have a shunt or you had one put in because of the portal hypertension?  I didn't understand that part.  A nurse shouldn't be recommending surgical procedures...
As per hemolytic anemia, you should be seeing a hematologist (blood specialist) to figure out what's causing it.  I ended up having a bout with that a couple of years ago.  Turns out it was CMV that was causing it.  That's a simple blood test to sort out if you have the virus.  Also there's an autoimmune hemolytic anemia out there so you really should see a specialist!  Mine resolved on its own within a couple of weeks.
Dany
 
Diagnosed with AIH January 2007,
CMV (cytomegalovirus) June 2008
Raynaud's February 2010
meds: Azathioprine 100mg, Ursodiol 250mg BID
 
 


ailsa
Regular Member


Date Joined Nov 2009
Total Posts : 35
   Posted 3/10/2010 3:43 PM (GMT -7)   
Danny, Thanks for your quick response. I'm sorry, I wasn't more clear. The nurse reported the CT findings, as I have a spenorenal shunt, ( my body created) to compensate for portal hypertension. I see a hematologist, and get procrit once a week for past 2 years. One of the treatments for hemolytic anemia is removal of the spleen. So. my question is, has anyone ever hear of this and is it serious. The nurse made lite of my concern, Sorry, if this was not a quick reply. thanks, again.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 3/10/2010 6:54 PM (GMT -7)   

I've never heard of the body creating a shunt before, but the body is quite a miraculous machine.  There are a number of possible dangerous side effects to spleen removal, including sepsis.  You need to discuss this in detail with your doctor if you are considering having your spleen removed.

Hugs,

Connie



hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


**David**
Veteran Member


Date Joined Nov 2009
Total Posts : 3708
   Posted 3/10/2010 7:26 PM (GMT -7)   
That's quite a bit of procrit. Aren't they (or you) afraid of a stroke? **David**

DGinSD
Forum Moderator


Date Joined Apr 2007
Total Posts : 839
   Posted 3/10/2010 9:48 PM (GMT -7)   
Ailsa,
 
Have they determined the cause of your hemolytic anemia?  Different types respond to different treatments.  If your doc insists on a certain treatment and you aren't 100% sure, you can always get a second opinion.
 
The spontaneous shunt development sounds peculiar to me too but as Connie said, the body is a pretty miraculous machine!
Dany
 
Diagnosed with AIH January 2007,
CMV (cytomegalovirus) June 2008
Raynaud's February 2010
meds: Azathioprine 100mg, Ursodiol 250mg BID
 
 


DGinSD
Forum Moderator


Date Joined Apr 2007
Total Posts : 839
   Posted 3/10/2010 9:54 PM (GMT -7)   
Ailsa!
 
Totally cool!  I just googled spontaneous splenorenal shunt...that is really cool and impressive that your body would compensate for your hepatic hypertension on it's own.  I would still like to know what's causing your anemia though if the doctor has figured it out.
Dany
 
Diagnosed with AIH January 2007,
CMV (cytomegalovirus) June 2008
Raynaud's February 2010
meds: Azathioprine 100mg, Ursodiol 250mg BID
 
 


ailsa
Regular Member


Date Joined Nov 2009
Total Posts : 35
   Posted 3/11/2010 5:08 PM (GMT -7)   
There is autoimmune hemolytic anemia and non-immune hemolytic anemia. Mine is autoimmune. Procrit-yeah, i know and am worried about the black box warning , but I was getting transfusions once a week in 2008. I am worried about stroke, just started 81 mg. asa, but also worried about a bleed? ( I had a subderal in 2005). I think my blood is a case for House.
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