Document Detail

Inferior caval vein thrombosis owing to compression of focal nodular hyperplasia: surgical resection after shrinkage by hepatic artery embolization.
MedLine Citation:
PMID:  20122363     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to investigate the results of a staged treatment of symptomatic focal nodular hyperplasia (FNH), consisting of first embolization and then resection. A 36-year-old woman presented with pulmonary embolism caused by an inferior caval vein thrombosis owing to external compression by FNH in liver segment I (5.2 x 6.7 cm). She was treated with anticoagulants. The FNH lesion was first reduced by radiologic embolization of the feeding branch of the right hepatic artery. A 41% size reduction was obtained, and the symptoms disappeared. FNH resection was performed 5(1/2) months later. The thrombus had disappeared, and the anticoagulant therapy could be stopped perioperatively. A symptomatic FNH lesion was treated successfully in two stages.
Cora H P Arts; Richard van Hillegersberg; Gerard A P de Kort; Frans L Moll
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular     Volume:  18     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  53-8     Citation Subset:  IM    
Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
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MeSH Terms
Anticoagulants / therapeutic use
Combined Modality Therapy
Embolization, Therapeutic*
Focal Nodular Hyperplasia / complications,  radiography,  surgery,  therapy*
Hepatic Artery*
Laser Coagulation
Pulmonary Embolism / etiology,  radiography,  surgery,  therapy*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures*
Vena Cava, Inferior / radiography,  surgery*
Venous Thrombosis / etiology,  radiography,  surgery,  therapy*
Reg. No./Substance:

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