title: [Severe hemoptysis due to portal hypertension. Responsibility of acquired splenopulmonary shunt and treatment by proximal splenorenal anastomosis].
abstract: 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.
authors.affiliation: Service d'Hépato-Gastroentérologie, Hôpital de la Conception, Marseille.
authors.forename: J M
authors.initials: JM
authors.lastname: Escoffier
authors.forename: Y P
authors.initials: YP
authors.lastname: Le Treut
authors.forename: M
authors.initials: M
authors.lastname: Antoni
authors.forename: J F
authors.initials: JF
authors.lastname: Huguet
authors.forename: A
authors.initials: A
authors.lastname: Gauthier
mesh_terms: 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
vernacular_title: Hémoptysie grave par hypertension portale. Responsabilité d'un shunt spléno-bronchique acquis et traitement par dérivation spléno-rénale centrale.