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Vol.60 (2014) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/432

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Title: Remnant left lobe torsion causing hepatic venous outflow obstruction after hepatic right lobectomy for giant hepatocellular carcinoma: report of a case
Authors: Sato, Naoya
Kenjo, Akira
Tsuchiya, Takao
Anazawa, Takayuki
Haga, Junichiro
Sato, Tetsu
Muto, Makoto
Kimura, Takashi
Gotoh, Mitsukazu
Affiliation: 臓器再生外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 60
Issue: 2
Start page: 170
End page: 174
Issue Date: 2014
Abstract: We report the case of a 67-year-old man with remnant left liver torsion causing acute hepatic venous outflow obstruction after right hepatectomy for giant hepatocellular carcinoma, which was successfully treated with surgery. After the primary surgery, he developed significant liver dysfunction and renal failure. Doppler ultrasonography disclosed gradual reduction of hepatic perfusion. Abdominal computed tomography revealed that the swollen remnant liver was dislocated in the right subphrenic space. After surgical repositioning of the left lobe into its anatomical position, the hepatic congestion immediately disappeared, and the hemodynamic parameters improved. The falciform and round ligaments were fixed to the anterior abdominal wall to keep the remnant liver in the anatomical position. His postoperative course was uneventful. Doppler ultrasonography was useful to assess hepatic perfusion for screening of acute hepatic venous outflow obstruction and abdominal computed tomography is definitive for diagnosis. Fixation of remnant liver may be effective for preventing hepatic venous outflow obstruction after right hepatectomy, particularly for giant tumor.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/432
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/432/1/FksmJMedSci_60_p170.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2014-4
PubMed ID: 25283977
Related Page: http://dx.doi.org/10.5387/fms.2014-4
Rights: © 2014 The Fukushima Society of Medical Science
Appears in Collections:Vol.60 (2014)

Files in This Item:

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FksmJMedSci_60_p170.pdf861.53 kBAdobe PDFDownload

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