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[门奇断流联合脾切除术后治疗曼氏血吸虫病所致食管静脉曲张破裂出血并发肠系膜静脉血栓形成:三例报告]

[Mesenteric venous thrombosis after azygos-portal disconnection with splenectomy for the treatment of bleeding esophageal varices in mansonian schistosomiasis. Three cases reports].

作者信息

Chaib E, Herman P, D'Albuquerque L C, Pugliesi V, Antônio L G, Feijó L F, Ishida R Y, Saad W A, Pinotti H W

机构信息

Serviço de Cirurgia de Figado, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1996 Mar-Apr;51(2):65-8.

PMID:9008935
Abstract

The consequence of an acute mesenteric venous thrombosis following porta-azygos disconnection for the treatment of bleeding esophageal varices due to mansonian schistosomiasis has not been well defined in the literature. The clinical manifestations reported were fever, spasmodic abdominal pain associated with food intake. We treated three patients with thrombosis of the portal-mesenteric trunk following porta-azygos disconnection and adopted a conservative clinical approach in two patients while one had to have a surgical small bowel ressection.

摘要

门奇断流术治疗曼氏血吸虫病所致食管静脉曲张破裂出血后发生急性肠系膜静脉血栓形成的后果,在文献中尚未明确界定。所报道的临床表现为发热、与进食相关的痉挛性腹痛。我们治疗了3例门奇断流术后门静脉-肠系膜主干血栓形成的患者,其中2例采取保守治疗,1例不得不接受小肠手术切除。

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