A case report of simultaneous orthotopic liver transplantation and jejunectomy

BACKGROUND: Liver transplantation (LT) accompanied by jejunectomy to treat patients with acute or chronic hepatic cirrhosis with thrombosis in the portal system is extremely rare. CASE PRESENTATION: A 47-year-old man presented with hematemesis and melena, and a diagnosis of decompensated cirrhosis,...

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Autores principales: Chen, Guoyong, Wei, Sidong, Zou, Zhongwu, Sun, Jianjun, Tang, Gaofeng, Chen, Jianbin, Zhou, Shaotang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034575/
https://www.ncbi.nlm.nih.gov/pubmed/27659187
http://dx.doi.org/10.1186/s12893-016-0184-8
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author Chen, Guoyong
Wei, Sidong
Zou, Zhongwu
Sun, Jianjun
Tang, Gaofeng
Chen, Jianbin
Zhou, Shaotang
author_facet Chen, Guoyong
Wei, Sidong
Zou, Zhongwu
Sun, Jianjun
Tang, Gaofeng
Chen, Jianbin
Zhou, Shaotang
author_sort Chen, Guoyong
collection PubMed
description BACKGROUND: Liver transplantation (LT) accompanied by jejunectomy to treat patients with acute or chronic hepatic cirrhosis with thrombosis in the portal system is extremely rare. CASE PRESENTATION: A 47-year-old man presented with hematemesis and melena, and a diagnosis of decompensated cirrhosis, chronic portal vein thrombosis (PVT) and secondary gastro-esophageal variceal hemorrhage was made. Coagulants were administered, but portal vein thrombi occurred rapidly, and gastrointestinal bleeding recurred shortly thereafter. The patient underwent LT, phlebothrombectomy and a partial jejunectomy. His recovery from a fistula was uneventful, and follow-up visits over 70 months were unremarkable. CONCLUSION: Liver transplantation and partial jejunectomy is a feasible and effective surgical option for select patients with end-stage liver disease accompanied by acute portal venous thrombosis.
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spelling pubmed-50345752016-09-29 A case report of simultaneous orthotopic liver transplantation and jejunectomy Chen, Guoyong Wei, Sidong Zou, Zhongwu Sun, Jianjun Tang, Gaofeng Chen, Jianbin Zhou, Shaotang BMC Surg Case Report BACKGROUND: Liver transplantation (LT) accompanied by jejunectomy to treat patients with acute or chronic hepatic cirrhosis with thrombosis in the portal system is extremely rare. CASE PRESENTATION: A 47-year-old man presented with hematemesis and melena, and a diagnosis of decompensated cirrhosis, chronic portal vein thrombosis (PVT) and secondary gastro-esophageal variceal hemorrhage was made. Coagulants were administered, but portal vein thrombi occurred rapidly, and gastrointestinal bleeding recurred shortly thereafter. The patient underwent LT, phlebothrombectomy and a partial jejunectomy. His recovery from a fistula was uneventful, and follow-up visits over 70 months were unremarkable. CONCLUSION: Liver transplantation and partial jejunectomy is a feasible and effective surgical option for select patients with end-stage liver disease accompanied by acute portal venous thrombosis. BioMed Central 2016-09-22 /pmc/articles/PMC5034575/ /pubmed/27659187 http://dx.doi.org/10.1186/s12893-016-0184-8 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Chen, Guoyong
Wei, Sidong
Zou, Zhongwu
Sun, Jianjun
Tang, Gaofeng
Chen, Jianbin
Zhou, Shaotang
A case report of simultaneous orthotopic liver transplantation and jejunectomy
title A case report of simultaneous orthotopic liver transplantation and jejunectomy
title_full A case report of simultaneous orthotopic liver transplantation and jejunectomy
title_fullStr A case report of simultaneous orthotopic liver transplantation and jejunectomy
title_full_unstemmed A case report of simultaneous orthotopic liver transplantation and jejunectomy
title_short A case report of simultaneous orthotopic liver transplantation and jejunectomy
title_sort case report of simultaneous orthotopic liver transplantation and jejunectomy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5034575/
https://www.ncbi.nlm.nih.gov/pubmed/27659187
http://dx.doi.org/10.1186/s12893-016-0184-8
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