A case report of simultaneous orthotopic liver transplantation and jejunectomy. Issue 1 (December 2016)

• Record Type: Journal Article
• Authors: Chen, Guoyong; Wei, Sidong; Zou, Zhongwu; Sun, Jianjun; Tang, Gaofeng; Chen, Jianbin; Zhou, Shaotang
• Is Part Of: BMC surgery. Volume 16:Issue 1(2016)
• Page Start: 1
• Page End: 4
• Publication Date: 2016-12
• Subjects: Acute-on-chronic -- End-stage liver disease -- Portal vein thrombosis -- Liver transplantation -- Phlebothrombectomy -- Jejunectomy; Surgery -- Periodicals; 617.005
• DOI: 10.1186/s12893-016-0184-8
• Languages: English
• ISSNs: 1471-2482

Abstract

Abstract Background Liver transplantation (LT) accompanied by jejunectomy to treat patients with acute or chronic hepatic cirrhosis with thrombosis in the portal system is extremely rare. Case presentation A 47-year-old man presented with hematemesis and melena, and a diagnosis of decompensated cirrhosis, chronic portal vein thrombosis (PVT) and secondary gastro-esophageal variceal hemorrhage was made. Coagulants were administered, but portal vein thrombi occurred rapidly, and gastrointestinal bleeding recurred shortly thereafter. The patient underwent LT, phlebothrombectomy and a partial jejunectomy. His recovery from a fistula was uneventful, and follow-up visits over 70 months were unremarkable. Conclusion Liver transplantation and partial jejunectomy is a feasible and effective surgical option for select patients with end-stage liver disease accompanied by acute portal venous thrombosis.