title: Surgical ligation of portosystemic shunt to resolve severe hematuria and hemafecia caused by type II abernethy malformation.
abstract: The purpose of this study was to report the use of venous pressure measurement during surgery for Abernethy malformation (AF). This is a case report of a 19-year-old man who suffered from hematuria and hemafecia for 3 months with worsening symptoms a week before being sent to the emergency room. He was diagnosed with type II AF based on portal phlebography. We performed an open surgery; measured portal vein, inferior mesenteric vein (IMV), and inferior vena cava pressure; and decided to completely suture the IMV. Anticoagulation therapy was used during follow-up, and CTV showed increased portal vein diameter at 12 months after the procedure. For type II AF, measuring extrahepatic portal venous pressure changes before and after shunt blockage during surgery can help determine whether it is feasible to block the shunt, and anticoagulation therapy can improve patient prognosis.
authors.affiliation: Department of Vascular surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Chao
authors.initials: C
authors.lastname: Jiang
authors.affiliation: Department of Vascular surgery, Peking Union Medical College Hospital, Beijing, China. Electronic address: yewill18@126.com.
authors.forename: Wei
authors.initials: W
authors.lastname: Ye
authors.affiliation: Department of Vascular surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Changwei
authors.initials: C
authors.lastname: Liu
authors.affiliation: Department of Vascular surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Weiwei
authors.initials: W
authors.lastname: Wu
authors.affiliation: Department of Vascular surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Yongjun
authors.initials: Y
authors.lastname: Li
mesh_terms: D006417:Hematuria / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D009780:Occult Blood; D010690:Phlebography; D011169:Portal Vein / Q000002:abnormalities*; D011170:Portasystemic Shunt, Surgical; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*; D055815:Young Adult