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双侧肺门异位静脉曲张性肝硬化门静脉高压症1例报告

Report of a case of cirrhotic portal hypertension with ectopic varices in the bilateral pulmonary hilar.

作者信息

Zhu Ke, Zhang Wei, Shao Wei, Ding Jing, Ma Chao

机构信息

Department of Gastroenterology No.2 People's Hospital of Fuyang City Fuyang China.

出版信息

DEN Open. 2022 Mar 9;2(1):e99. doi: 10.1002/deo2.99. eCollection 2022 Apr.

DOI:10.1002/deo2.99
PMID:35873504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9302055/
Abstract

Here, we report the case of patient cirrhosis with esophageal and gastric fundal varices who developed rare ectopic varices in the bilateral pulmonary hilar after repeated endoscopic treatments (tissue adhesive for gastric fundal varices + esophageal variceal ligation + esophageal variceal sclerotherapy) accompanied by serious shortness of breath. After transjugular intrahepatic portosystemic shunt + gastric coronary vein embolization, the shortness of breath was relieved, and the portography review indicated that the ectopic varices in the pulmonary hilar were significantly improved.

摘要

在此，我们报告一例肝硬化伴食管和胃底静脉曲张患者的病例，该患者在反复内镜治疗（胃底静脉曲张组织黏合剂注射+食管静脉曲张套扎术+食管静脉曲张硬化疗法）后，双侧肺门出现罕见的异位静脉曲张，并伴有严重的呼吸急促。经颈静脉肝内门体分流术+胃冠状静脉栓塞术后，呼吸急促得到缓解，门静脉造影复查显示肺门异位静脉曲张明显改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/57b29148d4d6/DEO2-2-e99-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/b765bdc473b8/DEO2-2-e99-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/0e175c1e1750/DEO2-2-e99-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/cb13a3c46bc4/DEO2-2-e99-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/57b29148d4d6/DEO2-2-e99-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/b765bdc473b8/DEO2-2-e99-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/0e175c1e1750/DEO2-2-e99-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/cb13a3c46bc4/DEO2-2-e99-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3684/9302055/57b29148d4d6/DEO2-2-e99-g002.jpg

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本文引用的文献

1
Causes and Management of Non-cirrhotic Portal Hypertension​.非肝硬化性门静脉高压的病因和处理。
Curr Gastroenterol Rep. 2020 Sep 17;22(12):56. doi: 10.1007/s11894-020-00792-0.
2
Balloon-occluded retrograde transvenous obliteration of colonic varices: a case report.球囊闭塞逆行经静脉封堵结肠静脉曲张：一例报告
CVIR Endovasc. 2020 Mar 16;3(1):17. doi: 10.1186/s42155-020-00108-3.
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Treatment of ectopic varices with portal hypertension.门静脉高压症异位静脉曲张的治疗
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Spontaneous hemoperitoneum.自发性血腹。
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Ectopic varices: anatomical classification, hemodynamic classification, and hemodynamic-based management.异位静脉曲张：解剖学分类、血流动力学分类及基于血流动力学的管理
Tech Vasc Interv Radiol. 2013 Jun;16(2):158-75. doi: 10.1053/j.tvir.2013.02.004.
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Clinicopathological features and treatment of ectopic varices with portal hypertension.门静脉高压性异位静脉曲张的临床病理特征与治疗
Int J Hepatol. 2011;2011:960720. doi: 10.4061/2011/960720. Epub 2011 Jul 31.
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Ectopic varices.异位静脉曲张
Gastrointest Endosc. 2011 Aug;74(2):380-8. doi: 10.1016/j.gie.2011.03.1177. Epub 2011 May 25.