Domino Reconstruction of the Portal Vein Using the External Iliac Vein and an ePTFE Graft in Pancreatic Surgery

2017 ◽  
Vol 21 (8) ◽  
pp. 1278-1286 ◽  
Author(s):  
Masato Yoshioka ◽  
Hiroshi Uchinami ◽  
Go Watanabe ◽  
Masatake Iida ◽  
Yasuhiko Nakagawa ◽  
...  
HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S688-S689
Author(s):  
Y. Yamamoto ◽  
M. Yoshioka ◽  
H. Uchinami ◽  
G. Watanabe ◽  
M. Iida ◽  
...  

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S993
Author(s):  
Y. Yamamoto ◽  
M. Yoshioka ◽  
H. Uchinami ◽  
G. Watanabe ◽  
M. Iida ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Koji Hoshino ◽  
Toru Nakamura ◽  
Mineji Hayakawa ◽  
Yusuke Itosu ◽  
Hitoshi Saito ◽  
...  

Abstract Background The right external iliac vein (REIV) is often used for portal vein reconstruction in patients undergoing pancreatoduodenectomy with portal-superior mesenteric vein resection. We report a case of cardiac arrest caused by acute lower leg compartment syndrome as a result of REIV resection. Case presentation A 53-year-old man underwent pancreatoduodenectomy with portal vein resection. Hyperkalemia progressed during surgery due to intestinal reperfusion injury, which caused recurrent ventricular arrhythmia required for cardio-pulmonary resuscitation. The surgery was discontinued after resuscitation, and portal vein reconstruction using the REIV was performed 2 days post-operatively. Acute compartment syndrome was diagnosed immediately following the surgery. Hyperkalemia progressed, causing pulseless ventricular tachycardia. Emergent fasciotomy was performed, but right leg dysfunction persisted after discharge. Conclusion REIV resection can cause lower-extremity acute compartment syndrome. The status, including intracompartmental pressure, of the lower extremity should be carefully observed after REIV resection during and after surgery.


Nephrology ◽  
2017 ◽  
Vol 22 (4) ◽  
pp. 332-332 ◽  
Author(s):  
Tsuyoshi Takashima ◽  
Tadashi Ohtsuka ◽  
Sae Sato ◽  
Mai Yoshizaki ◽  
Saori Kamachi ◽  
...  

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Rupal S. Parikh ◽  
Shiyi Li ◽  
Christopher Shackles ◽  
Tamim Khaddash

Abstract Background Mycotic aneurysms are rare vascular lesions, occurring in 0.6–2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. Case presentation This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting, in an oncologic patient without alternative therapeutic options. Conclusion Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting, particularly as a last resort in patients without surgical treatment options.


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Kiyokazu Fukui ◽  
Ayumi Kaneuji ◽  
Norio Kawahara

Abstract Background A hip joint ganglion is a rare cause of lower-extremity swelling. Case presentation We report a case of a Japanese patient with ganglion of the hip with compression of the external iliac/femoral vein that produced signs and symptoms mimicking those of deep vein thrombosis. Conclusions Needle aspiration of the ganglion was performed, and swelling of the lower extremity promptly decreased. At 7.5 years after aspiration, there was no recurrence of swelling of the leg. Although the recurrence rate for ganglions after needle aspiration is high, it is worthwhile trying aspiration first.


2021 ◽  
pp. 1358863X2110036
Author(s):  
Seshadri Raju ◽  
William Walker ◽  
Chandler Noel ◽  
Riley Kuykendall ◽  
Thomas Powell ◽  
...  

Minimum iliac vein caliber necessary to maintain normal peripheral venous pressure can be derived by the Poiseuille equation. Duplex was compared to intravascular ultrasound (IVUS) in the assessment of iliac vein stenosis in this single center retrospective study. Parallel IVUS and duplex caliber data for common iliac vein (CIV) and external iliac vein (EIV) in 382 limbs were separately compared. One or both segments were stenotic by IVUS criteria in 213 limbs. Neither segment was stenotic by IVUS in 22 limbs. Bland–Altman analyses and Passing–Bablok linear regressions were used. Duplex calibers were dimensionally smaller than corresponding IVUS images of CIV and EIV segments in Bland–Altman comparison by a mean of 54 mm2 and 34 mm2, respectively. Passing–Bablok regression suggested the difference was due to a systematic bias and not proportional. Duplex yields a smaller cross-sectional image of CIV and EIV compared to IVUS. Duplex is not a reliable diagnostic test for iliac vein stenosis.


1992 ◽  
Vol 26 (3) ◽  
pp. 218-221
Author(s):  
Kazuhiro Arikawa ◽  
Masafumi Yamashita ◽  
Seigou Nishida ◽  
Sumihiro Kawashima ◽  
Kazuto Shiota ◽  
...  

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