The authors present the case-history with a uncommon surgical procedure in a child with portal hypertension and hypersplenism. Half the spleen was resected and concurrently a distal splenorenal anastomosis of the Warren type was created. This procedure was selected because the child had a very enlarged spleen and marked hypersplenism. The postoperative course was free from complications and the satisfactory condition of the child 15 months after operation with normal haematological values confirms the justification of the selected procedure.
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