活体肝移植后门静脉血栓形成所致脂肪肝：1例报告

Fatty liver caused by portal vein thrombosis after living donor liver transplantation: a case report.

作者信息

Ogita Keiko, Taguchi Tomoaki, Soejima Yuji, Ieiri Satoshi, Katsura Shunsaku, Takada Narito, Matsuura Toshiharu, Yoshizumi Tomoharu, Shimada Mitsuo, Maehara Yoshihiko, Suita Sachiyo

机构信息

Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

出版信息

J Pediatr Surg. 2005 Aug;40(8):E7-9. doi: 10.1016/j.jpedsurg.2005.05.029.

DOI:10.1016/j.jpedsurg.2005.05.029

PMID:16080920

Abstract

Portal vein thrombosis (PVT) is a rare complication that occurs after liver transplantation: however, it cannot be ignored as a cause of graft loss and death. We herein report a pediatric case of PVT that caused a fatty change in the graft after living donor liver transplantation. The portal vein was successfully reconstructed using the left great saphenous vein of the same donor. Moreover, the fatty liver recovered after the operation. Our case suggests that the finding of fatty liver is an important marker of PVT and immediate portal reconstruction is performed.

摘要

门静脉血栓形成（PVT）是肝移植后发生的一种罕见并发症；然而，作为移植物丢失和死亡的原因，它不容忽视。我们在此报告一例活体肝移植后发生PVT导致移植物脂肪变性的儿科病例。使用同一供体的左大隐静脉成功重建了门静脉。此外，术后脂肪肝恢复。我们的病例表明，脂肪肝的发现是PVT的一个重要标志，应立即进行门静脉重建。