Surgical ligation of portosystemic shunt to resolve severe hematuria and hemafecia caused by type II abernethy malformation

Annals of Vascular Surgery
Chao JiangYongjun Li

Abstract

The purpose of this study was to report the use of venous pressure measurement during surgery for Abernethy malformation (AF). This is a case report of a 19-year-old man who suffered from hematuria and hemafecia for 3 months with worsening symptoms a week before being sent to the emergency room. He was diagnosed with type II AF based on portal phlebography. We performed an open surgery; measured portal vein, inferior mesenteric vein (IMV), and inferior vena cava pressure; and decided to completely suture the IMV. Anticoagulation therapy was used during follow-up, and CTV showed increased portal vein diameter at 12 months after the procedure. For type II AF, measuring extrahepatic portal venous pressure changes before and after shunt blockage during surgery can help determine whether it is feasible to block the shunt, and anticoagulation therapy can improve patient prognosis.

References

Mar 1, 1997·Journal of Pediatric Surgery·E R Howard, M Davenport
Oct 3, 2002·Pediatric Pulmonology·Alfonso E AlvarezJosé D Ribeiro
Jul 6, 2010·Journal of Pediatric Gastroenterology and Nutrition·Stéphanie Franchi-AbellaOlivier Bernard
Feb 3, 2012·ANZ Journal of Surgery·Vanessa BanzJohn Isaac
Feb 18, 2014·Annals of Vascular Surgery·Jingbo LuZhengjun Liu

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Citations

Oct 26, 2018·Journal of Ultrasound·Francesca Romana PonzianiGian Ludovico Rapaccini
Aug 4, 2018·Case Reports in Radiology·Zhen KangLiang Wang
Aug 14, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Jin-Shan Zhang, Long Li

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