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本文引用的文献

1
Management of hepatic vascular diseases.肝脏血管疾病的管理。
J Hepatol. 2012;56 Suppl 1:S25-38. doi: 10.1016/S0168-8278(12)60004-X.
2
Vascular liver disorders (II): portal vein thrombosis.肝脏血管疾病（二）：门静脉血栓形成
Neth J Med. 2009 Feb;67(2):46-53.
3
The role of thrombophilia in splanchnic vein thrombosis.易栓症在内脏静脉血栓形成中的作用。
Semin Liver Dis. 2008 Aug;28(3):293-301. doi: 10.1055/s-0028-1085097. Epub 2008 Sep 23.
4
Vascular liver disorders (I): diagnosis, treatment and prognosis of Budd-Chiari syndrome.肝脏血管疾病（一）：布加综合征的诊断、治疗及预后
Neth J Med. 2008 Sep;66(8):334-9.
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JAK2 and MPL mutations in myeloproliferative neoplasms: discovery and science.骨髓增殖性肿瘤中的JAK2和MPL突变：发现与科学
Leukemia. 2008 Oct;22(10):1813-7. doi: 10.1038/leu.2008.229. Epub 2008 Aug 28.
6
The impact of JAK2 and MPL mutations on diagnosis and prognosis of splanchnic vein thrombosis: a report on 241 cases.JAK2和MPL突变对内脏静脉血栓形成诊断和预后的影响：241例报告
Blood. 2008 May 15;111(10):4922-9. doi: 10.1182/blood-2007-11-125328. Epub 2008 Feb 4.
7
Changing spectrum of Budd-Chiari syndrome in India with special reference to non-surgical treatment.印度布加综合征的变化谱，特别提及非手术治疗
World J Gastroenterol. 2008 Jan 14;14(2):278-85. doi: 10.3748/wjg.14.278.
8
JAK2 mutation: The best diagnostic tool for myeloproliferative disease in splanchnic vein thrombosis?JAK2突变：内脏静脉血栓形成中骨髓增殖性疾病的最佳诊断工具？
Hepatology. 2006 Dec;44(6):1391-3. doi: 10.1002/hep.21489.
9
The Budd-Chiari syndrome.布加综合征
N Engl J Med. 2004 Feb 5;350(6):578-85. doi: 10.1056/NEJMra020282.
10
The diagnosis and management of the Budd-Chiari syndrome: consensus and controversies.布加综合征的诊断与管理：共识与争议
Hepatology. 2003 Oct;38(4):793-803. doi: 10.1053/jhep.2003.50415.

腹腔镜胆囊切除术后布加综合征

Budd-Chiari syndrome following laparoscopic cholecystectomy.

作者信息

Amarapurkar Pooja D, Parekh Sunil J, Sundeep Punamiya, Amarapurkar Deepak N

机构信息

Hematology Laboratory, Dr. Sunil Parekh's Lab, India.

Department of Interventional Radiology, Bombay Hospital & Medical Research Centre, Mumbai, India.

出版信息

J Clin Exp Hepatol. 2013 Sep;3(3):256-9. doi: 10.1016/j.jceh.2013.07.001. Epub 2013 Jul 31.

DOI:10.1016/j.jceh.2013.07.001
PMID:25755508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4216828/
Abstract

Patients with thrombophilic disorder while undergoing intra-abdominal surgery may develop splanchnic vein thrombosis which can have dire consequences. Here we report a case of a 38-year-old female who developed acute Budd-Chiari syndrome after a laparoscopic cholecystectomy. She had polycythemia vera which was not diagnosed before surgery. In this report we want to highlight presurgical evaluation of routine biochemical tests and ultrasonography suggestive of myeloproliferative disorders were missed which led to the Budd-Chiari syndrome. We recommend a meticulous look at the routine evaluation done prior to cholecystectomy is essential.

摘要

患有血栓形成倾向疾病的患者在接受腹部手术时可能会发生内脏静脉血栓形成，这可能会产生严重后果。在此，我们报告一例38岁女性患者，该患者在腹腔镜胆囊切除术后发生急性布加综合征。她患有真性红细胞增多症，术前未被诊断出来。在本报告中，我们想强调术前常规生化检查和超声检查提示骨髓增殖性疾病被漏诊，从而导致了布加综合征。我们建议，在胆囊切除术前进行细致的常规评估至关重要。