Document Detail

Spleno-parametrial ectopic varices: an unusual porto-systemic shunt in portal hypertension.
MedLine Citation:
PMID:  22270437     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: : Cirrhotic liver disease commonly is complicated by portal hypertension, and the resultant porto-systemic shunts are an important cause of morbidity and mortality in cirrhotic patients. Identification of these shunts and their management is an important part of the medical care provided to this population.
CASE: : We present the case of a patient with nonalcoholic steatohepatitis or nonalcoholic fatty liver disease and resultant portal hypertension who developed an unusual porto-systemic shunt, which at first was thought to represent a highly vascular gynecologic mass. The splanchnic blood was shunted through a recanalized vein interconnecting the splenic vein with the parametrial venous plexus.
CONCLUSION: : Unrecognized portal hypertension and resultant porto-systemic shunts may mask themselves as vascular masses and result in catastrophic surgical outcomes if not fully characterized preoperatively.
Dmitriy G Akselrod; Cheung Wong; David P Keating
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  119     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  455-9     Citation Subset:  AIM; IM    
From Fletcher Allen Health Care, University of Vermont, Departments of Radiology and Obstetrics, Gynecology and Reproductive Sciences, Burlington, Vermont.
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