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Surgical Resection of Native Viscera to Manage Persistent Ascites after Multivisceral Transplant.

Publication ,  Journal Article
Shaw, BI; Barbas, AS; Sudan, DL
Published in: Case Rep Transplant
2020

Multivisceral transplantation is the therapy of choice in patients with diffuse portomesenteric thrombosis. In the present case, we describe a patient who had persistent ascites after multivisceral transplant. The patient was initially diagnosed with a chyle leak which was cured via embolization. When this did not cure her ascites, reexploration proved the etiology to be at least partially attributable to persistent hypertension in the retained viscera. This was cured with the resection of her native viscera. This case highlights the importance of resection of all congested viscera at the time of transplantation in patients with diffuse portomesenteric thrombosis, the utility of preoperative embolization techniques in assisting this, and also the ability to perform delayed resection if necessary.

Duke Scholars

Published In

Case Rep Transplant

DOI

ISSN

2090-6943

Publication Date

2020

Volume

2020

Start / End Page

8863508

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shaw, B. I., Barbas, A. S., & Sudan, D. L. (2020). Surgical Resection of Native Viscera to Manage Persistent Ascites after Multivisceral Transplant. Case Rep Transplant, 2020, 8863508. https://doi.org/10.1155/2020/8863508
Shaw, Brian I., Andrew S. Barbas, and Debra L. Sudan. “Surgical Resection of Native Viscera to Manage Persistent Ascites after Multivisceral Transplant.Case Rep Transplant 2020 (2020): 8863508. https://doi.org/10.1155/2020/8863508.
Shaw BI, Barbas AS, Sudan DL. Surgical Resection of Native Viscera to Manage Persistent Ascites after Multivisceral Transplant. Case Rep Transplant. 2020;2020:8863508.
Shaw, Brian I., et al. “Surgical Resection of Native Viscera to Manage Persistent Ascites after Multivisceral Transplant.Case Rep Transplant, vol. 2020, 2020, p. 8863508. Pubmed, doi:10.1155/2020/8863508.
Shaw BI, Barbas AS, Sudan DL. Surgical Resection of Native Viscera to Manage Persistent Ascites after Multivisceral Transplant. Case Rep Transplant. 2020;2020:8863508.
Journal cover image

Published In

Case Rep Transplant

DOI

ISSN

2090-6943

Publication Date

2020

Volume

2020

Start / End Page

8863508

Location

United States