Serious intestinal bleeding from vascular ectasia secondary to portal thrombosis after living-related liver transplantation in a child

Masahiro Usuda, Keisei Fujimori, Nozomi Koyamada, Tatsuya Fukumori, Satoshi Sekiguchi, Naoki Kawagishi, Yorihiro Akamatsu, Shigeki Tsukamoto, Yoshitaka Enomoto, Nobuhiro Ohkouchi, Susumu Satomi

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Serious intestinal bleeding from vascular ectasia secondary to extrahepatic portal thrombosis is much less frequent than variceal bleeding, and its treatment is not clearly defined. We describe a 4-year-old girl with repeated intestinal bleeding from vascular ectasia, without any varix, with late extrahepatic portal vein thrombosis (PVT) and late hepatic artery thrombosis (HAT) after living-related liver transplantation. The bleeding stopped after simple splenectomy. She has presented neither bleeding nor any serious complications related to splenectomy for 1 year to date. We think uncontrollable hemorrhage from gastrointestinal vascular ectasia secondary to extrahepatic portal thrombosis in a pediatric patient can and should be treated by simple splenectomy, because patients with this complication usually have a normally functioning liver. However, it is not clear whether this procedure is effective for variceal bleeding.

Original languageEnglish
Pages (from-to)317-320
Number of pages4
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume12
Issue number4
DOIs
Publication statusPublished - 2005 Aug

Keywords

  • Extrahepatic portal vein thrombosis
  • Intestinal bleeding
  • Living-related liver transplantation
  • Vascular ectasia

ASJC Scopus subject areas

  • Surgery
  • Hepatology

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