[Severe hemoptysis due to portal hypertension. Responsibility of acquired splenopulmonary shunt and treatment by proximal splenorenal anastomosis].
Hemoptysis is not considered as an hemorrhagic complication of portal hypertension. We report a patient with liver cirrhosis and portal hypertension who developed a hitherto unreported porto-pulmonary transdiaphragmatic collaterality many years after splenectomy. Life threatening hemoptysis complicated this unusual shunt after banal bronchitis. A proximal splenorenal shunt was performed and was completely effective at 26 months.
Escoffier
J M
JM
Service d'Hépato-Gastroentérologie, Hôpital de la Conception, Marseille.
Le Treut
Y P
YP
Antoni
M
M
Huguet
J F
JF
Gauthier
A
A
D000714:Anastomosis, Surgical; D001983:Bronchial Fistula / Q000150:complications* / Q000601:surgery; D005402:Fistula / Q000150:complications* / Q000601:surgery; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000601:surgery; D007668:Kidney / Q000601:surgery; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000601:surgery; D013156:Splenectomy / Q000009:adverse effects; D013158:Splenic Diseases / Q000150:complications* / Q000601:surgery
Hémoptysie grave par hypertension portale. Responsabilité d'un shunt spléno-bronchique acquis et traitement par dérivation spléno-rénale centrale.