Noncirrhotic Portal Hypertension due to Nodular Regenerative Hyperplasia Treated with Surgical Portacaval Shunt
المؤلفون المشاركون
Koffron, Alan
Louwers, Lisa M.
Raofi, Vandad
Stecevic, Veslav
Bortman, Jared
Cohn, Steven
المصدر
العدد
المجلد 2012، العدد 2012 (31 ديسمبر/كانون الأول 2012)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2012-08-21
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Nodular regenerative hyperplasia (NRH) is an uncommon condition, but an important cause of noncirrhotic intrahepatic portal hypertension (NCIPH), characterized by micronodules of regenerative hepatocytes throughout the liver without intervening fibrous septae.
Herein, we present a case of a thirty-seven-year-old female with systemic lupus erythematosus (SLE) who was discovered to have significant esophageal varices on endoscopy for dyspepsia.
Her labs revealed a slight elevation in the alkaline phosphatase and mild thrombocytopenia.
Abdominal MRI revealed seven focal hepatic masses, splenomegaly, no ascites, and a patent portal vein.
Ultrasound-guided core biopsy was reported as focal nodular hyperplasia.
However, her varices persisted despite treatment with beta-blockers and four additional upper endoscopies with banding.
She was subsequently referred for a surgical opinion.
At that time, given her history of SLE, azathioprine use, and portal hypertension, suspicion for NRH was raised.
Given her normal synthetic function and lack of parenchymal liver disease, the patient was offered surgical shunting.
During shunt surgery, a liver wedge biopsy was also performed and this confirmed NRH.
An upper endoscopy six weeks after shunting verified complete resolution of varices.
Currently, fifteen months after surgery duplex ultrasonography demonstrates shunt patency and the patient is without recurrence of her portal hypertension.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Louwers, Lisa M.& Bortman, Jared& Koffron, Alan& Stecevic, Veslav& Cohn, Steven& Raofi, Vandad. 2012. Noncirrhotic Portal Hypertension due to Nodular Regenerative Hyperplasia Treated with Surgical Portacaval Shunt. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-512031
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Louwers, Lisa M.…[et al.]. Noncirrhotic Portal Hypertension due to Nodular Regenerative Hyperplasia Treated with Surgical Portacaval Shunt. Case Reports in Medicine No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-512031
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Louwers, Lisa M.& Bortman, Jared& Koffron, Alan& Stecevic, Veslav& Cohn, Steven& Raofi, Vandad. Noncirrhotic Portal Hypertension due to Nodular Regenerative Hyperplasia Treated with Surgical Portacaval Shunt. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-512031
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-512031
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر