Varices of cecum as an unusual collateral in portal hypertension case report

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

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Transjugular intrahepatic portosystemic shunt prior to renal transplantation in a child with autosomal-recessive polycystic kidney disease and portal hypertension: A case report

Pediatric Transplantation ◽

10.1034/j.1399-3046.2001.00061.x ◽

2001 ◽

Vol 5 (3) ◽

pp. 210-214 ◽

Cited By ~ 16

Author(s):

Nadine Benador ◽

Paul Grimm ◽

Joel Lavine ◽

Philip Rosenthal ◽

Vivian Reznik ◽

...

Keyword(s):

Case Report ◽

Portal Hypertension ◽

Renal Transplantation ◽

Kidney Disease ◽

Polycystic Kidney Disease ◽

Transjugular Intrahepatic Portosystemic Shunt ◽

Autosomal Recessive ◽

Portosystemic Shunt ◽

Polycystic Kidney ◽

Intrahepatic Portosystemic Shunt

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Splenic arteriovenous fistula accompanied by splenic artery aneurysm associated with acute-onset portal hypertension and gastrointestinal bleeding: case report and literature review

Annals of Vascular Surgery ◽

10.1016/j.avsg.2021.06.029 ◽

2021 ◽

Author(s):

Yating Zhu ◽

Jiang Xiong ◽

Feng Liu ◽

Wei Guo

Keyword(s):

Case Report ◽

Portal Hypertension ◽

Literature Review ◽

Gastrointestinal Bleeding ◽

Arteriovenous Fistula ◽

Splenic Artery ◽

Artery Aneurysm ◽

Acute Onset ◽

Splenic Artery Aneurysm ◽

Splenic Arteriovenous Fistula

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Sinistral Portal Hypertension: Presentation, Radiological Findings, and Treatment Options - A Case Report

Journal of Radiology Case Reports ◽

10.3941/jrcr.v4i10.512 ◽

2010 ◽

Vol 4 (10) ◽

Cited By ~ 1

Author(s):

Nima Kokabi ◽

Edward Lee ◽

Carlos Echevarria ◽

Christopher Loh ◽

Stephen T Kee

Keyword(s):

Case Report ◽

Portal Hypertension ◽

Treatment Options ◽

Radiological Findings ◽

Sinistral Portal Hypertension

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Hepatic Hydrothorax in a Patient with Liver Cirrhosis: a Case Report

Current Internal Medicine Research and Practice Surabaya Journal ◽

10.20473/cimrj.v2i2.28702 ◽

2021 ◽

Vol 2 (2) ◽

pp. 42

Author(s):

Martino Handoyo ◽

Titong Sugihartono

Keyword(s):

Liver Cirrhosis ◽

Case Report ◽

Portal Hypertension ◽

Pleural Effusion ◽

Ascitic Fluid ◽

Pleural Space ◽

Sodium Restriction ◽

Hepatic Hydrothorax ◽

Lower Survival Rate ◽

Advanced Liver Cirrhosis

Hepatic hydrothorax is a transudative pleural effusion which presents in 5-10% patients with liver cirrhosis. Although fairly uncommon, it is associated with higher morbidity and lower survival rate. The mechanism is yet to be understood fully, but the most widely accepted pathogenesis involves the presence of portal hypertension, diaphragmatic defects, and negative intrathoracal pressure, all of which lead to the formation of unidirectional passage of ascitic fluid from peritoneal cavity into pleural space. Due to its origin, the pleural effusion has similar characteristics to ascitic fluid. We herein report the case of a 60-year-old woman with advanced liver cirrhosis and right-sided moderate hepatic hydrothorax. Treatment given to the patient includes diuretics, sodium restriction, and repeated thoracentesis. Subsequent evaluation of the patient revealed improvement both clinically and radiologically.

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