Portal v, portal vein; splenic v, vein. (d) Endoscopic ultrasound image of the same patient shows the mass indenting the SMV. This tumor was successfully removed at surgery. (a) Axial pancreatic ...
Surgical interventions for pancreatic cancer, such as pancreatoduodenectomy (PD) and portal-superior mesenteric vein (PV-SMV) resection, can lead to decreased venous flow in the splenic vein.