Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt

A 33-year-old man presented with hepatic encephalopathy and was diagnosed to have a noncirrhotic extrahepatic portosystemic shunt (NCPSS). He presented with abdominal pain 16 months after the NCPSS diagnosis. Computed tomography revealed thrombosis between the intrahepatic portal vein and the left i...

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Autores principales: Hayashi, Manabu, Sugaya, Tatsuro, Fujita, Masashi, Nakamura, Jun, Imaizumi, Hiromichi, Abe, Kazumichi, Takahashi, Atsushi, Takagi, Tadayuki, Hikichi, Takuto, Ohira, Hiromasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7691034/
https://www.ncbi.nlm.nih.gov/pubmed/32669497
http://dx.doi.org/10.2169/internalmedicine.4925-20
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author Hayashi, Manabu
Sugaya, Tatsuro
Fujita, Masashi
Nakamura, Jun
Imaizumi, Hiromichi
Abe, Kazumichi
Takahashi, Atsushi
Takagi, Tadayuki
Hikichi, Takuto
Ohira, Hiromasa
author_facet Hayashi, Manabu
Sugaya, Tatsuro
Fujita, Masashi
Nakamura, Jun
Imaizumi, Hiromichi
Abe, Kazumichi
Takahashi, Atsushi
Takagi, Tadayuki
Hikichi, Takuto
Ohira, Hiromasa
author_sort Hayashi, Manabu
collection PubMed
description A 33-year-old man presented with hepatic encephalopathy and was diagnosed to have a noncirrhotic extrahepatic portosystemic shunt (NCPSS). He presented with abdominal pain 16 months after the NCPSS diagnosis. Computed tomography revealed thrombosis between the intrahepatic portal vein and the left internal iliac vein, including the NCPSS, and varices of the sigmoid colon. Thrombosis was treated with danaparoid sodium and antithrombin III followed by edoxaban. After treatment, the thrombosis disappeared from the intrahepatic portal vein, but it remained in the NCPSS. The sigmoid colon varices were followed up without any treatment. Follow-up is needed in NCPSS patients in order to make an early detection of complications.
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spelling pubmed-76910342020-12-03 Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt Hayashi, Manabu Sugaya, Tatsuro Fujita, Masashi Nakamura, Jun Imaizumi, Hiromichi Abe, Kazumichi Takahashi, Atsushi Takagi, Tadayuki Hikichi, Takuto Ohira, Hiromasa Intern Med Case Report A 33-year-old man presented with hepatic encephalopathy and was diagnosed to have a noncirrhotic extrahepatic portosystemic shunt (NCPSS). He presented with abdominal pain 16 months after the NCPSS diagnosis. Computed tomography revealed thrombosis between the intrahepatic portal vein and the left internal iliac vein, including the NCPSS, and varices of the sigmoid colon. Thrombosis was treated with danaparoid sodium and antithrombin III followed by edoxaban. After treatment, the thrombosis disappeared from the intrahepatic portal vein, but it remained in the NCPSS. The sigmoid colon varices were followed up without any treatment. Follow-up is needed in NCPSS patients in order to make an early detection of complications. The Japanese Society of Internal Medicine 2020-07-14 2020-11-01 /pmc/articles/PMC7691034/ /pubmed/32669497 http://dx.doi.org/10.2169/internalmedicine.4925-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hayashi, Manabu
Sugaya, Tatsuro
Fujita, Masashi
Nakamura, Jun
Imaizumi, Hiromichi
Abe, Kazumichi
Takahashi, Atsushi
Takagi, Tadayuki
Hikichi, Takuto
Ohira, Hiromasa
Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt
title Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt
title_full Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt
title_fullStr Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt
title_full_unstemmed Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt
title_short Sigmoid Colon Varices due to Massive Thrombosis of a Noncirrhotic Extrahepatic Portosystemic Shunt
title_sort sigmoid colon varices due to massive thrombosis of a noncirrhotic extrahepatic portosystemic shunt
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7691034/
https://www.ncbi.nlm.nih.gov/pubmed/32669497
http://dx.doi.org/10.2169/internalmedicine.4925-20
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