Management of portal hypertension derived from uncommon causes
Portal hypertension can arise from any condition interfering with normal blood flow at any level within the portal system. Herein, we presented two uncommon cases of the portal hypertension and its treatment with brief literature review. A 71-year-old man who underwent right hemihepatectomy revealed...
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Korean Association of Hepato-Biliary-Pancreatic Surgery
2016
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874045/ |
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pubmed-48740452016-05-22 Management of portal hypertension derived from uncommon causes Kim, Sung Hyun Lee, Hae Min Lee, Seung Ho Won, Jong Yoon Kim, Kyung Sik Case Report Portal hypertension can arise from any condition interfering with normal blood flow at any level within the portal system. Herein, we presented two uncommon cases of the portal hypertension and its treatment with brief literature review. A 71-year-old man who underwent right hemihepatectomy revealed a tumor recurrence adjacent to the inferior vena cava (IVC). After radiofrequency ablation (RFA) with lymph node dissection, he was referred for abdominal distension. The abdomen computed tomography scan showed severe ascites with a narrowing middle hepatic vein (MHV) and IVC around the RFA site. After insertion of two stents at the IVC and MHV, the ascites disappeared. Another 73-year-old man underwent right trisectionectomy of liver and segmental resection of the portal vein (PV). After operation, he underwent conservative management due to continuous abdominal ascites. The abdomen computed tomography scan showed severe ascites with obliteration of the left PV. After insertion of stent, the ascites disappeared. A decrease of the pressure gradient between the PV and IVC is one of the important treatment strategies for portal hypertension. Vascular stent is useful in the reduction of pressure gradient and thus, can be a treatment option for portal hypertension. Korean Association of Hepato-Biliary-Pancreatic Surgery 2016-05 2016-05-11 /pmc/articles/PMC4874045/ /pubmed/27212996 http://dx.doi.org/10.14701/kjhbps.2016.20.2.81 Text en Copyright © 2016 by The Korean Association of Hepato-Biliary-Pancreatic Surgery http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Kim, Sung Hyun Lee, Hae Min Lee, Seung Ho Won, Jong Yoon Kim, Kyung Sik |
| spellingShingle |
Kim, Sung Hyun Lee, Hae Min Lee, Seung Ho Won, Jong Yoon Kim, Kyung Sik Management of portal hypertension derived from uncommon causes |
| author_facet |
Kim, Sung Hyun Lee, Hae Min Lee, Seung Ho Won, Jong Yoon Kim, Kyung Sik |
| author_sort |
Kim, Sung Hyun |
| title |
Management of portal hypertension derived from uncommon causes |
| title_short |
Management of portal hypertension derived from uncommon causes |
| title_full |
Management of portal hypertension derived from uncommon causes |
| title_fullStr |
Management of portal hypertension derived from uncommon causes |
| title_full_unstemmed |
Management of portal hypertension derived from uncommon causes |
| title_sort |
management of portal hypertension derived from uncommon causes |
| description |
Portal hypertension can arise from any condition interfering with normal blood flow at any level within the portal system. Herein, we presented two uncommon cases of the portal hypertension and its treatment with brief literature review. A 71-year-old man who underwent right hemihepatectomy revealed a tumor recurrence adjacent to the inferior vena cava (IVC). After radiofrequency ablation (RFA) with lymph node dissection, he was referred for abdominal distension. The abdomen computed tomography scan showed severe ascites with a narrowing middle hepatic vein (MHV) and IVC around the RFA site. After insertion of two stents at the IVC and MHV, the ascites disappeared. Another 73-year-old man underwent right trisectionectomy of liver and segmental resection of the portal vein (PV). After operation, he underwent conservative management due to continuous abdominal ascites. The abdomen computed tomography scan showed severe ascites with obliteration of the left PV. After insertion of stent, the ascites disappeared. A decrease of the pressure gradient between the PV and IVC is one of the important treatment strategies for portal hypertension. Vascular stent is useful in the reduction of pressure gradient and thus, can be a treatment option for portal hypertension. |
| publisher |
Korean Association of Hepato-Biliary-Pancreatic Surgery |
| publishDate |
2016 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874045/ |
| _version_ |
1613582044991848448 |