A case of the peculiar portosystemic shunt unsuccessfully managed with Partial Splenic artery Embolization, Percutaneous Transhepatic Obliteration and ligation of paraumbilical vein
-
- Kakinuma Daisuke
- Department of Surgery, Nippon Medical School
-
- Yoshida Hiroshi
- Department of Surgery, Nippon Medical School
-
- Mamada Yasuhiro
- Department of Surgery, Nippon Medical School
-
- Taniai Nobuhiko
- Department of Surgery, Nippon Medical School
-
- Matsumoto Satoshi
- Department of Surgery, Nippon Medical School
-
- Mizuguchi Yoshiaki
- Department of Surgery, Nippon Medical School
-
- Shimizu Tetsuya
- Department of Surgery, Nippon Medical School
-
- Ishikawa Yoshinori
- Department of Surgery, Nippon Medical School
-
- Kanda Tomohiro
- Department of Surgery, Nippon Medical School
-
- Akimaru Koho
- Department of Surgery, Nippon Medical School
-
- Tajiri Takashi
- Department of Surgery, Nippon Medical School
Bibliographic Information
- Other Title
-
- 部分的脾動脈塞栓術,経皮経肝的シャント塞栓術と外科的傍臍静脈結紮術が不成功に終わった特異な門脈大循環シャントの1例
- 症例報告 部分的脾動脈塞栓術,経皮経肝的シャント塞栓術と外科的傍臍静脈結紮術が不成功に終わった特異な門脈大循環シャントの1例
- ショウレイ ホウコク ブブンテキヒドウミャク ソクセンジュツ ケイヒケイ カンテキ シャント ソクセンジュツ ト ゲカテキ ボウセイジョウミャク ケッサツジュツ ガ フセイコウ ニ オワッタ トクイ ナ モン ミャク ダイ ジュンカン シャント ノ 1レイ
Search this article
Abstract
We experienced a case of the intractable portosystemic shunt after repeated endoscopic variceal ligation for esophageal varices. A 48 years-old woman was observed for cryptogenic liver cirrhosis by nearby hospital since 2001. There was a past history of esophageal varices, for which she was underwent endoscopic variceal ligation, and she was hospitalized with hepatic encephalopathy at the nearby hospital repeatedly. She was referred to our hospital for gastric varices (F2, RC (-)). Abdominal angiography showed the peculiar portosystemic shunts through left gastric vein and paraumbilical vein. We intended to treat repeated hepatic encephalopathy due to these portosystemic shunts. After partial splenic aretery embolization for portalhypertension, we performed percutaneous transhepatic obliteration for left gastric vein and surgical ligation of paraumbilical vein under general anesthesia. However, we recognized newly portosystemic shunt through posterior gastric vein after surgery, and there was little change in serum ammonia level. This case was instructive for making decision of the treatment of portosystemic shunt with hepatic encephalopathy.<br>
Journal
-
- Kanzo
-
Kanzo 47 (9), 441-447, 2006
The Japan Society of Hepatology
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390282679768781696
-
- NII Article ID
- 10018390234
-
- NII Book ID
- AN00047770
-
- ISSN
- 18813593
- 04514203
-
- NDL BIB ID
- 8063381
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed