经皮肝门静脉再通术治疗异位静脉曲张出血病例

IF 3.3 Q2 GASTROENTEROLOGY & HEPATOLOGY

Journal of Clinical and Experimental Hepatology Pub Date : 2024-04-16 DOI:10.1016/j.jceh.2024.101429

Tara P. Tripathy , Ranjan K. Patel , Aryamon Mukherjee , Brahmadutta Pattanaik , Hemant K. Nayak , Sanjib Kar , Manas K. Panigrahi

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引用次数: 0

摘要

肝硬化和非肝硬化门静脉高压症患者可能会出现各种并发症和相关临床表现。我们介绍了一例因肝外门静脉阻塞（EHPVO）引起的肝前门静脉高压症患者因十二指肠静脉曲张异位而导致上消化道大出血的病例。该病例经血管内门静脉再通术（PVR）和金属支架置入术后处理成功。由于技术充分成功、症状和实验室指标得到改善，患者出院后接受了长期抗凝治疗和间隔随访。

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Case of Ectopic Variceal Bleed Managed With Percutaneous Transhepatic Portal Vein Recanalization

A variety of complications and associated clinical presentations may be seen in patients with cirrhotic and non-cirrhotic portal hypertension. We present one such case of Upper GI hemorrhage from ectopic duodenal varices in a case of pre-hepatic portal hypertension due to Extrahepatic Portal Venous Obstruction (EHPVO). The case was managed successfully with endovascular Portal Vein Recanalization (PVR) and metallic stent deployment. With adequate technical success, improved symptoms, and laboratory parameters, the patient was discharged on long-term anticoagulation and interval follow-up.

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来源期刊

Journal of Clinical and Experimental Hepatology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

4.90

自引率

16.70%

发文量

537

审稿时长

64 days