scholarly journals Surgical Treatment of a Descending Aortic Aneurysm in a Patient With Noncirrhotic Portal Hypertension and a Portal Systemic Shunt

2002 ◽  
Vol 66 (12) ◽  
pp. 1176-1177 ◽  
Author(s):  
Hideki Teshima ◽  
Nobuhiko Hayashida ◽  
Hidetoshi Akashi ◽  
Shigeaki Aoyagi
Keyword(s):  
Portal Hypertension ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Noncirrhotic Portal Hypertension ◽  
Portal Systemic Shunt ◽  
Descending Aortic Aneurysm

Surgical treatment of descending aortic aneurysm with destruction of vertebral bodies

2015 ◽  
pp. 78
Author(s):  
◽  
M. N. Tilljashajhov ◽  
S. N. Ishmuhamedov ◽  
I. Sharipov ◽  
D. K. Abdurahmonov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Descending Aortic Aneurysm ◽  
Vertebral Bodies

scholarly journals Refractory Hepatic Hydrothorax: A Rare Complication of Systemic Sclerosis and Presinusoidal Portal Hypertension

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Gary A. Abrams ◽  
Robert Chapman ◽  
Samuel R. W. Horton
Keyword(s):  
Pulmonary Hypertension ◽  
Portal Hypertension ◽  
Liver Biopsy ◽  
Rare Complication ◽  
Portal Pressure ◽  
Nodular Regenerative Hyperplasia ◽  
Hepatic Hydrothorax ◽  
Noncirrhotic Portal Hypertension ◽  
Portal Systemic Shunt ◽  
Hypertension Portal

We report on a rare case of refractory hepatic hydrothorax in an individual with Scleroderma/CREST syndrome and noncirrhotic portal hypertension. Portal pressure measurements revealed a normal transjugular hepatic venous portal pressure gradient, mild pulmonary hypertension, and an unremarkable liver biopsy except for mild sinusoidal dilation. Pulmonary hypertension, cardiac diastolic dysfunction, and chronic kidney disease were determined to be the causes of his refractory pleural effusions and ascites. Over the year, he underwent 50 thoracenteses and 20 paracenteses averaging 10–12 liters/week. Repeat pulmonary evaluation determined his pulmonary pressures to be normal and a secondary review of the “unremarkable” liver biopsy noted mild venous outflow obstruction and possibly Nodular Regenerative Hyperplasia (NRH). Repeat portal pressures indirectly and directly confirmed the existence of presinusoidal portal hypertension that has been associated with NRH. A transjugular intrahepatic portal systemic shunt (TIPS) was placed and he has not required thoracentesis or paracentesis over the past 18 months.

A young man with bleeding esophageal varices

2018 ◽  
Vol 1 (1) ◽  
pp. 14-16
Author(s):  
Soonthorn Chonprasertsuk
Keyword(s):  
Risk Factors ◽  
Portal Hypertension ◽  
Liver Function ◽  
Physical Examination ◽  
Esophageal Varices ◽  
Noncirrhotic Portal Hypertension ◽  
Liver Histopathology ◽  
Bleeding Esophageal Varices

The noncirrhotic portal hypertension is an uncommon cause of bleeding esophagealvarices. This condition must be suspected in patients with preserved liver function. We reporta 25-year old man with SLE disease who presented with hematemesis. He had no historyor risk factors for an underlying liver condition. A huge splenomegaly was detectedby physical examination. The EGD found three large varices with red wale sign, whereas liverfunction tests were unremarkable. The noncirrhotic portal hypertension was diagnosedand confirmed by liver histopathology. Figure 1 แสดงผลการส่องกล้องทางเดินอาหารส่วนบนพบ F3 varices with red wale sign

Risk factors and outcome of HIV-associated idiopathic noncirrhotic portal hypertension

2012 ◽  
Vol 36 (9) ◽  
pp. 875-885 ◽  
Author(s):  
J. N. L. Schouten ◽  
M. E. Van der Ende ◽  
T. Koëter ◽  
H. H. M. Rossing ◽  
M. Komuta ◽  
...  
Keyword(s):  
Risk Factors ◽  
Portal Hypertension ◽  
Noncirrhotic Portal Hypertension

scholarly journals Hematological Indices in Portal Hypertension: Cirrhosis versus Noncirrhotic Portal Hypertension

2018 ◽  
Vol 7 (8) ◽  
pp. 196 ◽  
Author(s):  
Abdurrahman Sahin ◽  
Hakan Artas ◽  
Nurettin Tunc ◽  
Mehmet Yalniz ◽  
Ibrahim Bahcecioglu
Keyword(s):  
Portal Hypertension ◽  
Retrospective Study ◽  
Radiological Findings ◽  
Hematological Indices ◽  
Noncirrhotic Portal Hypertension ◽  
End Stage Liver Disease ◽  
Cirrhotic Patients ◽  
Hematological Abnormalities ◽  
End Stage ◽  
Cirrhotic Group

Portal hypertension (PHT) leads to several alterations on hematological indices (HI). The aim of the study is to investigate the differences in HI between cirrhotic subjects and subjects who have noncirrhotic PHT (NCPHT). This retrospective study included 328 patients with PHT (239 cirrhosis and 89 NCPHT). Demographic and clinical features, endoscopic and radiological findings, and HI including neutrophil to lymphocyte ratio (NLR) at the time of PHT diagnosis were recorded. Severity of cirrhosis was assessed according to the Child–Turcotte–Pugh (CTP) classification and Model for End-Stage Liver Disease (MELD) scores. Hematological abnormalities were found in 92.5% of cirrhotic patients and in 55.1% of patients with NCPHT (p < 0.001). While thrombocytopenia was the most common HI in patients with cirrhosis, anemia was the most prevalent HI in NCPHT group. In the cirrhotic group, the NLR was the only parameter to differentiate each CTP group from two others. The NLR value increased with the severity of cirrhosis (2.28 ± 0.14 in CTP-A, 2.85 ± 0.19 in CTP-B and 3.26 ± 0.37 in CTP-C). The AUROC of NLR was 0.692 for differentiating compensated cirrhotic patients from decompensated. Hematological abnormalities are more prevalent and more severe in cirrhotic patients compared to patients with NCPHT. NLR may be used to assess the severity of cirrhosis.

scholarly journals A mycotic aortic aneurysm treated by thoracic endovascular aneurysm repair

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Takahiro Tokuda ◽  
Mototsugu Tamaki ◽  
Hideki Kitamura ◽  
Yutaka Koyama ◽  
Koshi Sawada ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Antibiotic Therapy ◽  
Laboratory Data ◽  
Endovascular Aneurysm Repair ◽  
Severe Infection ◽  
Intravenous Antibiotic ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Descending Aortic Aneurysm ◽  
Aneurysm Repair ◽  
Mycotic Aortic Aneurysm

Abstract An 88-year-old man was admitted with general fatigue. Computed tomography (CT) showed a descending aortic aneurysm. The laboratory data indicated severe infection. Despite negative blood cultures, broad-spectrum intravenous antibiotic therapy was started. Though antibiotic therapy was continued for about 2 weeks, the aneurysm extended 20 mm. Thoracic endovascular aortic repair was performed, and antibiotic therapy was continued for 4 weeks after the procedure, followed by oral antibiotics for 1 year. CT showed regression of the aneurysm 15 months after reconstruction. Antibiotic therapy, preoperatively and postoperatively, is important for a mycotic aortic aneurysm.

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