Please use this identifier to cite or link to this item:
|Title:||Unusual shunt for symptomatic portal vein thrombosis after liver transplantation - Clatworthy revisited||Authors:||Mali, V.P.
|Issue Date:||Jun-2012||Citation:||Mali, V.P., Robless, P.A., Aw, M., Loh, D.L., Quak, S.H., Prabhakaran, K. (2012-06). Unusual shunt for symptomatic portal vein thrombosis after liver transplantation - Clatworthy revisited. Pediatric Transplantation 16 (4) : E120-E124. ScholarBank@NUS Repository. https://doi.org/10.1111/j.1399-3046.2011.01548.x||Abstract:||PV thrombosis is not an uncommon occurrence following pediatric LT. Symptomatic PHT following PV thrombosis is treated medically, surgical portosystemic shunting (mesorex, splenorenal, and mesocaval) being reserved for refractory cases. A 10-yr-old boy suffered recurrent malena and hemorrhagic shock because of chronic PV thrombosis following LT nine yr ago (1999). Extensive work-up failed to localize the bleeding source. The liver function remained normal. Initial attempts at surgical shunts failed owing to thrombosis (mesocaval 2001, splenorenal, inferior mesenteric-left renal vein, splenic-left external iliac vein 2008). In this situation, we performed a Clatworthy shunt by anastomosing the divided lower end of the LCIV to the side of SMV. There was a single, large caliber anastomosis. Post-operatively, the malena stopped completely, and clinically, there was no lower limb edema or encephalopathy. Doppler USG revealed persistence of hepatopetal flow within the portal collaterals. Follow-up at two yr reveals stable hepatic function with a patent shunt. To the best of our knowledge, we are not aware of a Clatworthy shunt being performed in a transplant setting. We reviewed the literature pertaining to this shunt in non-transplant patients with PHT. © 2011 John Wiley & Sons A/S.||Source Title:||Pediatric Transplantation||URI:||http://scholarbank.nus.edu.sg/handle/10635/125907||ISSN:||13973142||DOI:||10.1111/j.1399-3046.2011.01548.x|
|Appears in Collections:||Staff Publications|
Show full item record
Files in This Item:
There are no files associated with this item.
WEB OF SCIENCETM
checked on Jan 10, 2022
checked on Jan 13, 2022
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.