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HPB SurgeryVolume 2009 2009, Article ID 426436, 5 pages

Case ReportRoswell Park Cancer Institute, State University of New York at Buffalo, Buffalo, NY 14263, USA

Received 3 April 2009; Accepted 24 July 2009

Academic Editor: Christos Dervenis

Copyright © 2009 Christian M. Ellis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report herein the case of a patient successfully treated by transhepatic portal venous stent placement for malignant portal vein obstruction with associated gastric and small bowel varices and repeated gastrointestinal bleeding. CT angiography and portography showed severe portal vein obstruction from recurrent pancreatic cancer 15 months following pancreaticoduodenectomy with tumor encasement and dilated collateral veins throughout the gastric and proximal small bowel wall as the suspected cause of the GI bleeding. Successful transhepatic endovascular stent placement of the splenic vein at the portal vein confluence followed by balloon dilation was performed with immediate decompression of the gastric and small bowel varices and relief of GI hemorrhage in this patient until his death four months later. The treatment for patients with this dilemma can prove to be difficult, but as we have shown endovascular stenting of the portal system is an effective treatment option.





Autor: Christian M. Ellis, Sadashiv Shenoy, Alan Litwin, Stephanie Soehnlein, and John F. Gibbs

Fuente: https://www.hindawi.com/



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