Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010
Remnant torsion causing Budd-Chiari syndrome after right hepatectomy.
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Wang Jeffrey K, Truty Mark J, Donohue John H
Аннотация
INTRODUCTION: Torsion or rotation of the remnant left liver after right hepatectomy is a potential cause of venous outflow obstruction. This can occur by external compression on the inferior vena cava or kinking of the left hepatic vein.
DISCUSSION: We report a case of a young female who underwent right hepatectomy for stage IV colorectal metastases and suffered remnant left liver torsion causing acute Budd-Chiari syndrome. She was managed by placement of a metal stent across the area of stenosis which resolved her ascites and hyperbilirubinemia.
DISCUSSION: We report a case of a young female who underwent right hepatectomy for stage IV colorectal metastases and suffered remnant left liver torsion causing acute Budd-Chiari syndrome. She was managed by placement of a metal stent across the area of stenosis which resolved her ascites and hyperbilirubinemia.