| Surgical management of portal hypertension in Felty's syndrome: A case report and literature review. | |
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MedLine Citation:
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PMID: 19231014 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND/AIMS: Bleeding esophageal varices are a common complication of portal hypertension in patients with underlying liver disease. Often patients with hepatic cirrhosis have hypersplenism with thrombocytopenia and leukopenia. Felty's syndrome is a disorder where patients with rheumatoid arthritis develop splenomegaly, neutropenia, and on rare occasions, portal hypertension without underlying cirrhosis. METHODS: We present a case of a patient with portal hypertension secondary to Felty's syndrome and discuss the importance of recognizing this condition since the treatment of choice is surgical management with splenectomy. A review of the literature and underlying liver histologic features are discussed. RESULTS: Medical and surgical management of patients with Felty's syndrome is different from those with portal hypertension due to cirrhosis. CONCLUSION: Splenectomy is the treatment of choice for complications of portal hypertension in patients with Felty's Syndrome. |
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Authors:
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Heather Stock; Zakiyah Kadry; Jill P Smith |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-02-12 |
Journal Detail:
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Title: Journal of hepatology Volume: 50 ISSN: 0168-8278 ISO Abbreviation: J. Hepatol. Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-16 Completed Date: 2009-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503886 Medline TA: J Hepatol Country: England |
Other Details:
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Languages: eng Pagination: 831-5 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Harrisburg Hospital, Harriburg, PA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Esophageal and Gastric Varices
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surgery Felty's Syndrome / complications* Hematemesis / etiology Humans Hypertension, Portal / complications, surgery* Male Middle Aged Pulmonary Disease, Chronic Obstructive / complications Splenectomy Treatment Outcome |
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