title: [Therapy of persistent bleeding esophageal varices using intrahepatic portosystemic stent shunt and immediate liver transplantation].
abstract: A 41-year-old patient with liver cirrhosis due to autoimmune hepatitis received an emergency transjugular portosystemic stent shunt for uncontrolled acute variceal hemorrhage. Because of markedly impaired liver function, liver transplantation was considered to be indicated and was performed on the following day. Intraoperatively, one of the intrahepatic metal stents migrated unnoticed into the pulmonary artery. The postoperative course was uncomplicated and the displaced stent was left in situ. Eighteen months after the transplantation the patient is well with normal liver function and no pulmonary problems.
authors.affiliation: Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
authors.forename: H J
authors.initials: HJ
authors.lastname: Schlitt
authors.forename: H
authors.initials: H
authors.lastname: Rosenthal
authors.forename: K
authors.initials: K
authors.lastname: Böker
authors.forename: M
authors.initials: M
authors.lastname: Manns
authors.forename: R
authors.initials: R
authors.lastname: Pichlmayr
mesh_terms: D000328:Adult; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D008103:Liver Cirrhosis / Q000601:surgery*; D016031:Liver Transplantation; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011859:Radiography; D012086:Reoperation; D015607:Stents