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논문 기본 정보

자료유형
학술저널
저자정보
Sung Hyun Kim (Yonsei University College of Medicine) Hae Min Lee (Yonsei University College of Medicine) Seung Ho Lee (Yonsei University College of Medicine) Jong Yoon Won (Yonsei University College of Medicine) Kyung Sik Kim (Yonsei University College of Medicine)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제20권 제2호
발행연도
2016.5
수록면
81 - 84 (4page)

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Portal hypertension can arise from any condition interfering with normal blood flow at any level within the portal system. Herein, we presented two uncommon cases of the portal hypertension and its treatment with brief literature review. A 71-year-old man who underwent right hemihepatectomy revealed a tumor recurrence adjacent to the inferior vena cava (IVC). After radiofrequency ablation (RFA) with lymph node dissection, he was referred for abdominal distension. The abdomen computed tomography scan showed severe ascites with a narrowing middle hepatic vein (MHV) and IVC around the RFA site. After insertion of two stents at the IVC and MHV, the ascites disappeared. Another 73-year-old man underwent right trisectionectomy of liver and segmental resection of the portal vein (PV). After operation, he underwent conservative management due to continuous abdominal ascites. The abdomen computed tomography scan showed severe ascites with obliteration of the left PV. After insertion of stent, the ascites disappeared. A decrease of the pressure gradient between the PV and IVC is one of the important treatment strategies for portal hypertension. Vascular stent is useful in the reduction of pressure gradient and thus, can be a treatment option for portal hypertension.

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INTRODUCTION
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REFERENCES

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UCI(KEPA) : I410-ECN-0101-2016-514-002837327