The successful management of portal vein thrombosis after hepatic transplantation with a splenorenal shunt

D. A. Rouch, J. C. Emond, M. Ferrari, D. Yousefzadeh, P. Whitington, C. E. Broelsch

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Portal vein thrombosis is an infrequent complication after hepatic transplantation, but is quite dramatic when it occurs. It is usually managed by retransplantation with a significant mortality rate. We present a patient in whom portal vein thrombosis after hepatic transplantation was ultimately managed by a splenorenal shunt. The portal vein thrombosis was manifested by bleeding esophageal varices and, yet, normal hepatic function obviated the need for a new graft (one was not readily available). To the best of our knowlegde, this is the first presentation of a patient with a transplant of the liver with acute portal vein occlusion and maintained hepatic function who has been successfully managed by a portosystemic shunt.

Original languageEnglish (US)
Pages (from-to)311-316
Number of pages6
JournalSurgery Gynecology and Obstetrics
Volume166
Issue number4
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

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