Geeroms Barbara, De Hertogh Gert, Vanslembrouck Ragna, Wildiers Hans, Nevens Frederik, Maleux Geert
Department of Radiology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.
Department of Pathology, University Hospitals Leuven, Herestraat 49, B-3000 Leuven, Belgium.
J Vasc Interv Radiol. 2018 Dec;29(12):1713-1716. doi: 10.1016/j.jvir.2018.08.007. Epub 2018 Nov 2.
Three patients with a medical history of breast carcinoma and metastatic carcinomatous liver disease associated with severe portal hypertension and refractory ascites are presented. Transjugular intrahepatic portosystemic shunt creation was considered as a palliative treatment option and a valuable alternative to regular paracenteses in these patients. In 2 of the 3 patients, the refractory ascites was controlled for several months without need for paracentesis, and subsequently transjugular intrahepatic portosystemic shunt may provide valuable palliation and ascites control in patients with refractory ascites due to breast cancer-induced pseudocirrhosis.
本文介绍了3例有乳腺癌病史且伴有严重门静脉高压和难治性腹水的转移性癌性肝病患者。经颈静脉肝内门体分流术被视为一种姑息性治疗选择，是这些患者常规腹腔穿刺术的一种有价值的替代方法。在这3例患者中的2例中，难治性腹水得到了数月的控制，无需进行腹腔穿刺术，随后经颈静脉肝内门体分流术可能为因乳腺癌所致假性肝硬化引起的难治性腹水患者提供有价值的姑息治疗和腹水控制。
