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2016 ; 20
(2
): 81-4
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Management of portal hypertension derived from uncommon causes
#MMPMID27212996
Kim SH
; Lee HM
; Lee SH
; Won JY
; Kim KS
Korean J Hepatobiliary Pancreat Surg
2016[May]; 20
(2
): 81-4
PMID27212996
show ga
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.