Document Detail


Remnant torsion causing Budd-Chiari syndrome after right hepatectomy.
MedLine Citation:
PMID:  20112074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Torsion or rotation of the remnant left liver after right hepatectomy is a potential cause of venous outflow obstruction. This can occur by external compression on the inferior vena cava or kinking of the left hepatic vein. DISCUSSION: We report a case of a young female who underwent right hepatectomy for stage IV colorectal metastases and suffered remnant left liver torsion causing acute Budd-Chiari syndrome. She was managed by placement of a metal stent across the area of stenosis which resolved her ascites and hyperbilirubinemia.
Authors:
Jeffrey K Wang; Mark J Truty; John H Donohue
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-29
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  14     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  910-2     Citation Subset:  IM    
Affiliation:
Division of Gastroenterologic and General Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Budd-Chiari Syndrome / diagnosis,  etiology*,  surgery
Colorectal Neoplasms / pathology,  therapy
Constriction, Pathologic / pathology,  radiography,  surgery
Female
Follow-Up Studies
Hepatectomy / adverse effects*,  methods
Hepatic Veins / pathology,  radiography
Humans
Liver Neoplasms / secondary,  surgery*
Middle Aged
Neoplasm, Residual / complications*
Phlebography / methods
Postoperative Complications / diagnosis,  surgery
Risk Assessment
Stents*
Torsion, Mechanical
Treatment Outcome
Vena Cava, Inferior / pathology*,  radiography

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


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