Endovascular interventions for traumatic portal venous hemorrhage complicated by portal hypertension  

作　　者：Dinesh Kumar Sundarakumar Crysela Mirta Smith Jorge Enrique Lopera Matthew Kogut Rajeev Suri 

机构地区：[1]Department of Radiology, The University of Texas Health Science Center at San Antonio [2]Department of Radiology, University of Washington Medical Center

出　　处：《World Journal of Radiology》2013年第10期381-385,共5页世界放射学杂志（英文版）（电子版）

摘　　要：Life-threatening hemorrhage rarely occurs from the portal vein following blunt hepatic trauma.Traditionally,severe portal bleeding in this setting has been controlled by surgical techniques such as packing,ligation,and venorrhaphy.The presence of portal hypertension could potentially increase the amount of hemorrhage in the setting of blunt portal vein trauma making it more difficult to control.This case series describes the use of indirect carbon dioxide portography to identify portal hemorrhage.Furthermore,these cases illustrate attempted endovascular treatment utilizing a transjugular intrahepatic portosystemic shunt in one scenario and transmesocaval shunt coiling of a jejunal varix in the other.Life-threatening hemorrhage rarely occurs from the portal vein following blunt hepatic trauma.Traditionally,severe portal bleeding in this setting has been controlled by surgical techniques such as packing,ligation,and venorrhaphy.The presence of portal hypertension could potentially increase the amount of hemorrhage in the setting of blunt portal vein trauma making it more difficult to control.This case series describes the use of indirect carbon dioxide portography to identify portal hemorrhage.Furthermore,these cases illustrate attempted endovascular treatment utilizing a transjugular intrahepatic portosystemic shunt in one scenario and transmesocaval shunt coiling of a jejunal varix in the other.

关 键 词：Trauma PORTAL VEIN PORTAL hypertension Transjugular INTRAHEPATIC Portasystemic Shunt VARIX 

分 类 号：R575.2[医药卫生—消化系统]