Superior Mesenteric Varices and Splenic Renal Shunt with Portal Hypertension: A Case Report of Liver Cirrhosis with Complications

T Kaji; J Tamura; M Matsumoto; K Hoshino; T Takeuchi; S Sato; H Murakami; S Yano; T Naruse

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Superior Mesenteric Varices and Splenic Renal Shunt with Portal Hypertension: A Case Report of Liver Cirrhosis with Complications

机译：肠系膜上静脉曲张和脾肾分流伴门静脉高压：一例肝硬化并发肝硬化的病例报告

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The case of a 58-year old woman with cirrhosis complicated by hepatocellular carcinoma, hepatic encephalopathy and superior mesenteric varices is described. Angiography revealed large superior mesenteric varices and it was demonstrated that the portal venous blood was shunted into the right internal iliac vein via the right ovarian vein. Clinically, this patient had hepatic encephalopathy and hyperammonaemia, but no oesophageal varices were discovered on endoscopy. The hepatic encephalopathy suggested that the portal blood containing ammonium from the superior mesenteric vein entered the brain through the systemic vein without the ammonia being metabolized by the liver.

机译：描述了一名58岁的肝硬化并发肝细胞癌，肝性脑病和肠系膜上静脉曲张的妇女的病例。血管造影显示大的肠系膜上静脉曲张，并且表明门静脉血经右卵巢静脉分流到右the内静脉。临床上，该患者患有肝性脑病和高氨血症，但在内窥镜检查中未发现食管静脉曲张。肝性脑病表明，来自肠系膜上静脉的含铵的门血通过全身静脉进入大脑，而氨没有被肝脏代谢。

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《Journal of International Medical Research》 |1993年第1期|共8页
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T Kaji; J Tamura; M Matsumoto; K Hoshino; T Takeuchi; S Sato; H Murakami; S Yano; T Naruse;
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2. The inferior mesenteric vein to the left gonadal vein shunt for gastroesophageal varices and extrahepatic portal vein thrombosis after living donor liver transplantation: A case report [J] . KobayashiT., SatoY., YamamotoS., Transplantation Proceedings . 2012,第2期

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3. Spontaneous shunt between the superior mesenteric vein and the right renal vein caused by portal hypertension. [J] . Kikuchi H, Noguchi M, Akashi H, The Journal of Urology . 2001,第5期

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Superior Mesenteric Varices and Splenic Renal Shunt with Portal Hypertension: A Case Report of Liver Cirrhosis with Complications

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