Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report

It is reported the case of a 69 years man who presented to the Emergency Room because of pain and abdominal distension from ascites. After admission and paracentesis placement, he developed a digestive hemorrhage due to oesophageal varices from portal ipertension secondary to the formation of a port...

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Autores principales: Ratti, Francesca, Cipriani, Federica, Paganelli, Michele, Ferla, Gianfranco, Aldrighetti, Luca AM
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3305563/
https://www.ncbi.nlm.nih.gov/pubmed/22330617
http://dx.doi.org/10.1186/1477-7819-10-34
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author Ratti, Francesca
Cipriani, Federica
Paganelli, Michele
Ferla, Gianfranco
Aldrighetti, Luca AM
author_facet Ratti, Francesca
Cipriani, Federica
Paganelli, Michele
Ferla, Gianfranco
Aldrighetti, Luca AM
author_sort Ratti, Francesca
collection PubMed
description It is reported the case of a 69 years man who presented to the Emergency Room because of pain and abdominal distension from ascites. After admission and paracentesis placement, he developed a digestive hemorrhage due to oesophageal varices from portal ipertension secondary to the formation of a portal shunt concomitant with a multifocal HepatoCellular Carcinoma (HCC) with portal vein thrombosis (PVT). The patient underwent endoscopic varices ligation, twice transarterial embolization (TAE) of arterial branches feeding the shunt and subsequent left hepatectomy. During the postoperative course he developed mild and transient signs of liver failure and was discharged in postoperative day 16. He is alive and disease free 8 months after surgery.
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spelling pubmed-33055632012-03-16 Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report Ratti, Francesca Cipriani, Federica Paganelli, Michele Ferla, Gianfranco Aldrighetti, Luca AM World J Surg Oncol Case Report It is reported the case of a 69 years man who presented to the Emergency Room because of pain and abdominal distension from ascites. After admission and paracentesis placement, he developed a digestive hemorrhage due to oesophageal varices from portal ipertension secondary to the formation of a portal shunt concomitant with a multifocal HepatoCellular Carcinoma (HCC) with portal vein thrombosis (PVT). The patient underwent endoscopic varices ligation, twice transarterial embolization (TAE) of arterial branches feeding the shunt and subsequent left hepatectomy. During the postoperative course he developed mild and transient signs of liver failure and was discharged in postoperative day 16. He is alive and disease free 8 months after surgery. BioMed Central 2012-02-13 /pmc/articles/PMC3305563/ /pubmed/22330617 http://dx.doi.org/10.1186/1477-7819-10-34 Text en Copyright ©2012 Ratti et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ratti, Francesca
Cipriani, Federica
Paganelli, Michele
Ferla, Gianfranco
Aldrighetti, Luca AM
Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report
title Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report
title_full Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report
title_fullStr Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report
title_full_unstemmed Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report
title_short Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report
title_sort surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3305563/
https://www.ncbi.nlm.nih.gov/pubmed/22330617
http://dx.doi.org/10.1186/1477-7819-10-34
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