期刊论文详细信息
CVIR Endovascular
Percutaneous treatment of IVC obstruction due to post-resection hepatic torsion associated with IVC thrombosis
Rakesh Navuluri1  Thuong G. Van Ha1  Jeffrey A. Leef1  Thomas G. Tullius1  J. Michael Millis2 
[1] Department of Radiology, University of Chicago Medical Center;Department of Surgery, University of Chicago Medical Center;
关键词: Hepatic venous outflow obstruction;    Living donor liver transplantation;    Thrombectomy;    Venous stenting;   
DOI  :  10.1186/s42155-019-0056-2
来源: DOAJ
【 摘 要 】

Abstract Background Migration of the left hepatic lobe into the potential space following right lobe resection can result in torsion and hepatic venous outflow obstruction with compromised venous return from the IVC. If untreated, significant morbidity and mortality can develop. Case presentation We report a case of a 29-year-old female with Lynch syndrome who underwent right lobe resection for a metastatic hepatic tumor. There was subsequent migration of the liver remnant, torsion of the IVC, and impaired hepatic outflow, successfully treated with thrombectomy and stenting. Conclusion Following right hepatectomy, hepatic venous outflow obstruction should be consdered in the setting of hepatorenal failure and hemodynamic instability. Endovascular stenting is a viable treatment option.

【 授权许可】

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