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KMID : 1048120230120010046
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International Journal of Gastrointestinal Intervention
2023 Volume.12 No. 1 p.46 ~ p.49
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Transjugular intrahepatic portosystemic shunt for pyrrolidine-alkaloid-induced hepatic sinusoidal obstruction syndrome in a patient with situs inversus totalis and portal vein thrombus
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Xie Yu-Guan
Xu Chen
Shi Hai-Bin
Liu Sheng
Yang Wei
Tian Wei
Zhou Wei-Zhong
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Abstract
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We here report a rare case of pyrrolidine-alkaloid-induced hepatic sinusoidal obstruction syndrome (PA-HSOS) complicated with situs inversus totalis and portal vein thrombus (PVT). The patient had abdominal distention and ascites, which were not responsive to conservative medical treatment or peritoneal drainage. Transjugular intrahepatic portosystemic shunt (TIPS) was successfully performed in the patient via the left internal jugular vein approach. After the procedure, abdominal distension and ascites gradually resolved. The TIPS procedure could be considered as a useful treatment for PA-HSOS patients with PVT.
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KEYWORD
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Case reports, Hepatic veno-occlusive disease, Portal vein, Portasystemic shunt, transjugular intrahepatic, Situs inversus
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