Giant Splenorenal Shunt in a Young Patient with Autoimmune HepatitisPrimary Biliary Cholangitis Overlap Syndrome and Portal Vein Thrombosis
Joint Authors
Giuricin, V.
Chegai, Fabrizio
Cavallo, A. U.
Forcina, M.
Castellani, F.
Greco, L.
Manuelli, M.
Sergiacomi, G.
Manzia, Tommaso Maria
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We present a case of giant Splenorenal Shunt (SRS) associated with portal vein thrombosis in a 37-year-old woman with a twelve-year history of autoimmune hepatitis/primary biliary cholangitis overlap syndrome.
At the moment of the CT examination laboratory tests showed creatinine 1.5 mg/dl, bilirubin 1.5 mg/dl, INR 3, and Na 145 mmol/l and the Model End-Stage Liver Disease score was 24.
Extensive calcified thrombosis causing complete occlusion of the portal vein lumen and partially occluding the origin of the superior mesenteric vein was present and a small calcified thrombus in the Splenic Vein lumen was also evident.
SRS was located among the spleen hilum and the left kidney with a maximum diameter of 3.25 cm and was associated with dilatation of left renal vein and inferior vena cava.
After a multidisciplinary evaluation the patient was put on the Regional Liver Transplant waiting list and liver transplantation was performed successfully.
Although portal vein thrombosis and SRS are common occurrences in cirrhotic patients, the impact in the natural history of the disease is still unclear.
Careful management and accurate imaging protocols are essential in the evaluation of those patients.
American Psychological Association (APA)
Chegai, Fabrizio& Cavallo, A. U.& Forcina, M.& Giuricin, V.& Castellani, F.& Greco, L.…[et al.]. 2017. Giant Splenorenal Shunt in a Young Patient with Autoimmune HepatitisPrimary Biliary Cholangitis Overlap Syndrome and Portal Vein Thrombosis. Case Reports in Radiology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149777
Modern Language Association (MLA)
Chegai, Fabrizio…[et al.]. Giant Splenorenal Shunt in a Young Patient with Autoimmune HepatitisPrimary Biliary Cholangitis Overlap Syndrome and Portal Vein Thrombosis. Case Reports in Radiology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1149777
American Medical Association (AMA)
Chegai, Fabrizio& Cavallo, A. U.& Forcina, M.& Giuricin, V.& Castellani, F.& Greco, L.…[et al.]. Giant Splenorenal Shunt in a Young Patient with Autoimmune HepatitisPrimary Biliary Cholangitis Overlap Syndrome and Portal Vein Thrombosis. Case Reports in Radiology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1149777
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149777