活体肝移植术中因手术创建分流导致的复发性肝性脑病
Recurrent Hepatic Encephalopathy Due to Surgically Created Shunt During Living Donor Liver Transplantation.
作者信息
Choudhary Narendra S, Saigal Sanjiv, Saraf Neeraj, Baijal Sanjay S, Soin Arvinder S
机构信息
Medanta Institute of Liver Transplantation and Regenerative Medicine, Medanta The Medicity, Gurgaon, Delhi (NCR), India.
Department of Radiodiagnosis and Interventional Radiology, Medanta The Medicity, Gurgaon, Delhi (NCR), India.
出版信息
J Clin Exp Hepatol. 2021 May-Jun;11(3):397-399. doi: 10.1016/j.jceh.2020.08.004. Epub 2020 Aug 12.
Abstract
Hepatic encephalopathy due to portosystemic shunts is a well-defined entity in patients with cirrhosis. Rarely, liver transplant recipients develop hepatic encephalopathy owing to persistence or surgically created portosystemic shunts. We present a case of post-transplant recurrent hepatic encephalopathy due to a surgically created portocaval shunt. The patient was managed by a covered metal stent placement in the inferior vena cava, thus causing functional closure of the shunt.
摘要
门体分流所致的肝性脑病在肝硬化患者中是一种明确的病症。肝移植受者因持续性或手术造成的门体分流而发生肝性脑病的情况较为罕见。我们报告一例因手术造成的门腔分流导致移植后复发性肝性脑病的病例。该患者通过在下腔静脉置入覆膜金属支架进行治疗，从而使分流功能性闭合。
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