Acute portal vein thrombosis after hepatectomy in a patient with hepatolithiasis A case report and review of the literature

作者：Zhang Zun yi; Dong Ke shuai; Zhang Er lei; Huang Zhi yong; Chen Xiao ping; Dong Han hua^*

来源：Medicine, 2018, 97(25): e11174.

DOI：10.1097/MD.0000000000011174

• acute portal vein thrombosis
• hepatectomy
• hepatolithiasis

Rationale: Portal vein thrombosis is defined as any thrombosis that develops in the portal vein system. It is considered a very rare and extremely lethal complication of hepatopancreatobiliary surgery.
Patient concerns: Acute portal vein thrombosis after hepatectomy in patients with hepatolithiasisis very rare. Acute portal vein thrombosis is considered as a dangerous complication after hepatectomy. It is easy to ignore the symptom of acute portal vein thrombosis. Once the appropriate time of treatment is past, it would lead to patients' death.
Diagnose: Acute portal vein thrombosis after hepatectomy in a patient with hepatolithiasis
Interventions: We consider anticoagulation therapy and percutaneous transhepatic portal vein puncture and thrombectomy once the diagnosis of acute portal vein thrombosis is confirmed.
Outcomes: The patient's liver function continued to deteriorate, eventually resulting in death.
Lessons: Acute portal vein thrombosis after hepatectomy is difficult to diagnose. The management of acute portal vein thrombosis remains controversial according to its severity, location or time of discovering.

• 出版日期2018-6
• 单位华中科技大学