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肝移植患者部分脾栓塞术后紧急脾切除术:一例报告

Urgent splenectomy after partial splenic embolization in liver-transplanted patient: a case report.

作者信息

Herrador Benito Jorge, Zunzarren M G, Pozancos de Simón T, Tortolero L, Latorre Fragua R, Nuño J, Lobo E

机构信息

Department of General and Digestive Surgery, Ramón y Cajal Hospital, Cra. Colmenar Km 9, 1, 28034 Madrid, Spain.

出版信息

Case Rep Transplant. 2012;2012:959635. doi: 10.1155/2012/959635. Epub 2012 Nov 10.

Abstract

We describe a 51-year-old-male. Three months after liver transplantation due to hepatitis C virus (HCV) hepatopathy, an HCV relapse was detected, and partial splenic embolization (PSE) was performed prior to antiviral treatment. Eleven days after PSE emergency splenectomy was performed due to the development of a splenic abscess, which is a rare but severe complication of PSE. Between May 2002 and March 2012, 18 PSEs have been performed in transplant patients in our centre. The patient presented here is the only case of splenic abscess and the only one who has needed surgery after complications of PSE.

摘要

我们描述了一名51岁男性。因丙型肝炎病毒(HCV)肝病进行肝移植3个月后,检测到HCV复发,在抗病毒治疗前进行了部分脾栓塞术(PSE)。PSE术后11天,因脾脓肿形成进行了急诊脾切除术,脾脓肿是PSE罕见但严重的并发症。2002年5月至2012年3月,我们中心对移植患者进行了18次PSE。此处介绍的患者是脾脓肿的唯一病例,也是PSE并发症后唯一需要手术的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18a6/3504206/3d71878a6090/CRIM.TRANSPLANTATION2012-959635.001.jpg

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