Abernethy Malformation and Gastrointestinal Bleeding: A Case Report and Literature Review

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2024-09-12 DOI:10.1177/15385744241278870

Wenrui Li, Bin Liu, Hai Feng

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引用次数: 0

Abstract

Background: Congenital extrahepatic portosystemic shunt (CEPS), also termed Abernethy malformation (AF) is a rare anomaly of the splanchnic venous system. Several approaches, including shunt closures through surgical or radiological interventions and liver transplantations, have been proposed, but clear comparisons among different treatment strategies are still unavailable. Purpose: We report a case in which an unusual portosystemic shunt was present between the dilated inferior mesenteric vein (IMV) to the right ovarian vein. A mini literature review of AF patients presented with gastrointestinal (GI) tract bleeding. Research design: Case report and literature review. Data Collection: An electronic search of PubMed was performed from inception to December 2023. Results: 34 AF patients presented with GI tract bleeding were identified published in the literature. The proportion of type II AF patients presenting with GI bleeding is greater (79%). Conclusions: We regard that both surgical ligation and endovascular closure of the shunt are effective and safe treatments for these patients, but coils embolization alone may not be sufficient to completely close the shunt when the shunt flow is high.

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阿伯内蒂畸形和消化道出血：病例报告和文献综述

背景：先天性肝外门静脉分流术（CEPS）又称阿伯内西畸形（AF），是一种罕见的脾静脉系统异常。目前已提出了多种治疗方法，包括通过手术或放射学干预关闭分流管和肝移植，但仍未对不同治疗策略进行明确比较。目的：我们报告了一例在扩张的肠系膜下静脉（IMV）与右卵巢静脉之间存在不寻常门静脉分流的病例。对出现胃肠道（GI）出血的房颤患者进行小型文献回顾。研究设计：病例报告和文献综述。数据收集：对PubMed进行电子检索，检索时间从开始至2023年12月。结果：34 例房颤患者出现消化道出血：文献发表了 34 例出现消化道出血的房颤患者。II型房颤患者出现消化道出血的比例更高（79%）。结论：我们认为手术结扎和血管内封闭分流道对这些患者来说都是有效而安全的治疗方法，但当分流道血流量较大时，仅靠线圈栓塞可能不足以完全封闭分流道。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).