A case report of simultaneous orthotopic liver transplantation and jejunectomy

BMC Surgery

Case Report

Shaotang Zhou¹  Sidong Wei²  Jianbin Chen²  Guoyong Chen²  Jianjun Sun²  Gaofeng Tang²  Zhongwu Zou³ 

[1] Center of Hepatopancreaticobiliary Surgery and Liver transplantation, 100 Xisihuang Middle Road, Fengtai District, 100039, Beijing, China;Center of Hepatopancreaticobiliary Surgery, Henan Provincial People’s Hospital, 450003, Zhengzhou, Henan, China;Hubei Vocational-Technical College School of Medicine, 432000, Xiaogan, China;

关键词: Acute-on-chronic;    End-stage liver disease;    Portal vein thrombosis;    Liver transplantation;    Phlebothrombectomy;    Jejunectomy;   

DOI  :  10.1186/s12893-016-0184-8

 received in 2016-07-07, accepted in 2016-09-16,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundLiver transplantation (LT) accompanied by jejunectomy to treat patients with acute or chronic hepatic cirrhosis with thrombosis in the portal system is extremely rare.Case presentationA 47-year-old man presented with hematemesis and melena, and a diagnosis of decompensated cirrhosis, chronic portal vein thrombosis (PVT) and secondary gastro-esophageal variceal hemorrhage was made. Coagulants were administered, but portal vein thrombi occurred rapidly, and gastrointestinal bleeding recurred shortly thereafter. The patient underwent LT, phlebothrombectomy and a partial jejunectomy. His recovery from a fistula was uneventful, and follow-up visits over 70 months were unremarkable.ConclusionLiver transplantation and partial jejunectomy is a feasible and effective surgical option for select patients with end-stage liver disease accompanied by acute portal venous thrombosis.

【 授权许可】

CC BY   
© The Author(s). 2016