You are here

Home » Content

FULMİNAN B HEPATİTİ SEBEBİYLE YAPILAN ORTOTOPİK KARACİĞER NAKLİ SIRASINDA SPONTAN AKUT DALAK RÜPTÜRÜ

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2001

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Acute Rupture ofthe Spleen during Orthotopic Liver Transplantation for Fulminant Hepatitis B. We report on a patient who had spontaneous splenic rupture during total vascular exclusion (TVE) in orthotopic liver transplantation for fulminant hepatitis B. To the best of our informa-tion, this complication has been reported in a single liver transplant case previously . The most probable reason is acute elevation of portal pressure. The spleen should be observed carefully for a few minutes after the initiation of TVE. Also, splenic rupture should be considered im-mediately in an unexpected hemorrhage at any time in the course of TVE.
Bookmark/Search this post with
Abstract (Original Language): 
Fulminan B hepatiti sebebiyle yapılan ortotopik karaciğer nakli(OKN) sırasında, total vasküler eksklüzyon(TVE) uygulandıktan sonra, spontan dalak rüptürü gelişmiştir. Bu komplikasyon, OKN sırasında, daha önce bir defa bildirilmiştir. En olası sebep, portal basıncın akut olarak yükselmesidir. TVE'nin başlangıcından sonra dalak birkaç dakika süreyle gözlenmelidir. TVE boyunca herhangi bir zaman noktasında beklenmedik bir kanama olduğunda, akla dalak rüptürü gelmelidir
FULL TEXT (PDF): 
PDF icon arastirmax-fulminan-b-hepatiti-sebebiyle-yapilan-ortotopik-karaciger-nakli-sirasinda-spontan-akut-dalak-rupturu.pdf
  • 1-2
110-111
  • Turkish

REFERENCES

References: 

1. Chari R, Gan TJ, Robertson K, Bass K, Camargo CA, Greig PD, Clavien PA: Veno-venous bypass in adult orthotopic liver transplantation: Rouline or selective use? J Am Coll Surg 186: 683 (1998).
2. Baniel J, Bihrle R, Wahle GR, Foster RS: Splenic rupture during occlusion of the porta hepatis in resection of tu-mors with vena caval extension. J Urol 151:992 (1994).
3. Belghiti J, Noun R, Zante E, Ballet T, Sauvenet: A Portal triad occlusion or hepatic vascular exclusion for liver resection: A controlled study. Ann Surg 224: 155 (1996).
4. Berney T, Mentha G, Morel P: Total vascular exclusion of the liver for the resection of lesions in contact with the vena cava or the hepatic veins. Br J Surg 85:485 (1998).
5. Douzdjian V, Broughan TA: Spontaneous splenic rupture during total vascular occlusion of the liver. Br J Surg 82:406 (1995).
6. Delva E, Camus Y, Paugam C, Pare R, Huguet C, Lien-hart A: Hemodynamic effects of portal triad damping in humans. Anesth Analg 66: 864 (1987).
7. Kitano S, terblanche J, Kahn D, Bornman PC: Venous anatomy of the lower oesophagus in portal hypertension: practical implications. Br J Surg 73: 525 (1986)

Thank you for copying data from http://www.arastirmax.com