Question

A patient comes with abdominal pain, jaundice, and portal hypertension. Anastomosis between which of the following veins is seen?

• A. Left colic vein and middle colic veins
• B. Esophageal veins and left gastric veins
• C. Superior rectal and phrenic veins
• D. Sigmoid and superior rectal veins

Answer 1

The Correct Option is B

The condition described involves a combination of symptoms: abdominal pain, jaundice, and portal hypertension. These manifestations suggest an underlying issue with the liver's blood supply, often leading to portal hypertension. Portal hypertension is a condition characterized by increased blood pressure within the portal venous system, often due to liver cirrhosis or other forms of hepatic dysfunction.

One common result of portal hypertension is the development of portosystemic venous anastomoses, where blood finds alternative pathways due to increased resistance in the liver's blood vessels. These anastomoses occur between veins of the portal circulation and those of the systemic circulation, allowing blood to bypass the liver.

A commonly affected site is between the esophageal veins, which are part of the systemic circulation, and the left gastric veins, belonging to the portal circulation. This connection can lead to esophageal varices, which are dilated veins in the esophagus and a known complication of portal hypertension.

Given these particulars, the correct answer is:

• Esophageal veins and left gastric veins