Direct Intrahepatic Portocaval Shunt for Sinusoidal Obstruction Syndrome Associated with Hepatotoxicity of Pyrrolizidine Alkaloids
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منابع مشابه
Direct intrahepatic portocaval shunt for treatment of portal thrombosis and Budd-Chiari syndrome.
Budd-Chiari syndrome (BCS) refers to hepatic venous outflow obstruction that in severe cases can lead to acute liver failure prompting consideration of revascularization or transplantation. Here, a 22 year old female with angiographically proven BCS secondary to JAK2/V617F positive Polycythemia vera on therapeutic warfarin presented with acute liver failure (ALF). Imaging revealed a new, near c...
متن کاملDirect intrahepatic portocaval shunt for refractory hepatic hydrothorax: a case report
Case A 64-year-old man with complaints of dyspnea and orthopnea secondary to a hepatic hydrothorax refractory to diuretic medication underwent the transjugular intrahepatic portosystemic shunt (TIPS) procedure to decrease the portal vein pressure. The TIPS procedure failed due to severe liver stiffness. Direct intrahepatic portocaval shunt (DIPS), a modified TIPS procedure that directly inserts...
متن کاملIdentification of Toxic Pyrrolizidine Alkaloids and Their Common Hepatotoxicity Mechanism.
Pyrrolizidine Alkaloids (PAs) are currently one of the most important botanical hepatotoxic ingredients. Glutathion (GSH) metabolism is the most reported pathway involved in hepatotoxicity mechanism of PAs. We speculate that, for different PAs, there should be a common mechanism underlying their hepatotoxicity in GSH metabolism. Computational methods were adopted to test our hypothesis in consi...
متن کاملDiagnostic performance of Contrast-enhanced CT in Pyrrolizidine Alkaloids-induced Hepatic Sinusoidal Obstructive Syndrome
Hepatic sinusoidal obstruction syndrome (HSOS) can be caused by pyrrolizidine alkaloids(PAs)-containing herbals. Since PAs exposure is obscure and clinical presentation of HSOS is unspecific, it is challenge to establish the diagnosis of PAs-induced HSOS. Gynura segetum is one of the most wide-use herbals containing PAs. The aim of our study is to describe the features of contrast-enhanced comp...
متن کاملBudd-Chiari Syndrome Transplant, Meso-Atrial Shunt or Combined Portocaval Shunt With Cavo-Atrial Shunt
apy for esophageal varices in men with alcoholic liver disease: a randomized, single blind, multicenter clinical trial. New Engl.apy for esophageal varices: long-term results of a single center trial. cirrhotics selected by endoscopic criteria a multicenter randomized controlled trial. (1992) Treatment of Budd-Chiari syndrome due to inferior oena caoa occlusion by combined portal and oena caval...
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ژورنال
عنوان ژورنال: BioMed Research International
سال: 2018
ISSN: 2314-6133,2314-6141
DOI: 10.1155/2018/9804582