Document Detail


Portal vein phlebolithiasis found post-liver transplantation in the native liver of a child with biliary atresia.
MedLine Citation:
PMID:  11260490     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Biliary atresia is defined as partial or total obliteration of the extra-hepatic bile ducts. In advanced cases, liver transplantation (LTx) is considered the most appropriate treatment. This report describes a female patient whose biliary atresia and subsequent cirrhosis required LTx at 1 yr of age. Macroscopic inspection of the hilar region of the native liver post-Tx revealed the formation of a pouch in the hepatic duct and a stone in the lumen of the portal vein. X-ray diffraction analysis showed that the stone was composed of cholesteryl cinnamate, gluconic acid phenylhydrazide, Na beta broma-allyl mercaptomethyl penicillinate, and Al2O3 crystals. While the cholesterol component is a known element of gallstones, we attributed the Na beta broma-allyl mercaptomethyl penicillinate to the patient's drug therapy. Our literature search revealed no previous record or crystallographic analysis of portal vein phlebolithiasis. In this report we describe this rare finding.
Authors:
B Bilezikçi; B Demirhan; H Kiyici; M Haberal
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric transplantation     Volume:  5     ISSN:  1397-3142     ISO Abbreviation:  Pediatr Transplant     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-03-30     Completed Date:  2001-05-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9802574     Medline TA:  Pediatr Transplant     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  56-9     Citation Subset:  IM    
Affiliation:
Department of Pathology, Baskent University, Ankara, Turkey. banubie@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Biliary Atresia / complications*,  pathology,  surgery
Calculi / chemistry,  etiology*
Female
Humans
Infant
Jaundice / etiology,  surgery
Liver Transplantation*
Portal Vein*
Venous Thrombosis / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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