Volume 14 Issue 5
Sep.  2023
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Zhao Hongqiang, Dong Cao’er, Hou Yucheng, et al. Portal vein aneurysm after liver transplantation: report of two cases and literature review[J]. ORGAN TRANSPLANTATION, 2023, 14(5): 708-713. doi: 10.3969/j.issn.1674-7445.2023105
Citation: Zhao Hongqiang, Dong Cao’er, Hou Yucheng, et al. Portal vein aneurysm after liver transplantation: report of two cases and literature review[J]. ORGAN TRANSPLANTATION, 2023, 14(5): 708-713. doi: 10.3969/j.issn.1674-7445.2023105
shu

Portal vein aneurysm after liver transplantation: report of two cases and literature review

doi: 10.3969/j.issn.1674-7445.2023105

  • Hepatobiliary Pancreatic Center, Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University, Tsinghua University School of Clinical Medicine, Beijing 102218, China

More Information
  • Corresponding author: Tang Rui, Email:tangrui_hs@163.com
  • Received Date: 2023-05-22
    Available Online: 2023-07-20
  • Publish Date: 2023-09-15
    Abstract
  •   Objective   To summarize the diagnosis and treatment experience of portal vein aneurysm after liver transplantation.   Methods  Clinical data of two recipients with portal vein aneurysm after liver transplantation were retrospectively analyzed. Clinical features, diagnosis, treatment and prognosis were summarized based on literature review.   Results  Both two cases were diagnosed with intrahepatic portal vein aneurysm complicated with portal vein thrombosis and portal hypertension after liver transplantation. Case 1 was given with targeted conservative treatment and he refused to undergo liver retransplantation. Physical condition was worsened after discharge, and the patient eventually died from liver graft failure, kidney failure, lung infection, and septic shock. Case 2 received high-dose glucocorticoid pulse therapy, whereas liver function was not improved, and the patient was recovered successfully after secondary liver transplantation.   Conclusions  Long-term complication of portal vein aneurysm (especially intrahepatic type) after liver transplantation probably indicates poor prognosis. Correct understanding, intimate follow-up and active treatment should be conducted. Liver retransplantation may be a potential treatment regimen.

     

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