肝切除术后肝内动静脉瘘并发腹水和SMV血栓形成1例

Q4 Medicine

Annals of Cancer Research and Therapy Pub Date : 2019-07-30 DOI:10.4993/acrt.27.83

Eri Munekage, H. Maeda, M. Munekage, S. Uemura, K. Okamoto, Ian Fukudome, Kazune Fujisawa, Sachi Yamaguchi, M. Ogasawara, T. Namikawa, K. Hanazaki

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引用次数: 1

摘要

动脉门静脉瘘（APF）是一种罕见的血管异常，其特征是动脉和门静脉之间的连通。我们描述了一名69岁的男性APF患者，他在肝切除术后10个月出现急性临床症状。APF伴有大量腹水和肠系膜上静脉血栓形成。使用抗凝剂、利尿剂和瘘管介入线圈栓塞成功地治疗了这种情况。该病例表明APF是肝切除术后的一个重要并发症，肝内APF可急性表现为腹水和肠系膜上静脉血栓形成。

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A case of ascites and SMV thrombosis dueto an intrahepatic arterio-portal fistula after hepatectomy

Arterio-portal fistula (APF) is a rare vascular abnormality, characterized by communication between artery and portal vein. We describe a 69-year-old male patient with APF, who developed acute clinical symptoms 10 months after hepatectomy. The APF was accompanied by massive ascites and thrombosis in the superior mesenteric vein. The condition was successfully treated using anticoagulant, diuretics, and interventional coil embolization of the fistulas. This case indicates that APF is an important postoperative complication after hepatectomy, and that intrahepatic APFs could manifest acutely with ascites and superior mesenteric vein thrombosis.

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来源期刊

Annals of Cancer Research and Therapy Medicine-Pharmacology (medical)

CiteScore

0.70

自引率

0.00%

发文量