title: A case report of simultaneous orthotopic liver transplantation and jejunectomy.
abstract: BACKGROUND
  Liver transplantation (LT) accompanied by jejunectomy to treat patients with acute or chronic hepatic cirrhosis with thrombosis in the portal system is extremely rare.
  
  
  METHODS
  A 47-year-old man presented with hematemesis and melena, and a diagnosis of decompensated cirrhosis, chronic portal vein thrombosis (PVT) and secondary gastro-esophageal variceal hemorrhage was made. Coagulants were administered, but portal vein thrombi occurred rapidly, and gastrointestinal bleeding recurred shortly thereafter. The patient underwent LT, phlebothrombectomy and a partial jejunectomy. His recovery from a fistula was uneventful, and follow-up visits over 70 months were unremarkable.
  
  
  CONCLUSIONS
  Liver transplantation and partial jejunectomy is a feasible and effective surgical option for select patients with end-stage liver disease accompanied by acute portal venous thrombosis.
authors.affiliation: Center of Hepatopancreaticobiliary Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan, 450003, China.
authors.forename: Guoyong
authors.initials: G
authors.lastname: Chen
authors.affiliation: Center of Hepatopancreaticobiliary Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan, 450003, China.
authors.forename: Sidong
authors.initials: S
authors.lastname: Wei
authors.affiliation: Hubei Vocational-Technical College School of Medicine, Xiaogan, 432000, China.
authors.forename: Zhongwu
authors.initials: Z
authors.lastname: Zou
authors.affiliation: Center of Hepatopancreaticobiliary Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan, 450003, China.
authors.forename: Jianjun
authors.initials: J
authors.lastname: Sun
authors.affiliation: Center of Hepatopancreaticobiliary Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan, 450003, China.
authors.forename: Gaofeng
authors.initials: G
authors.lastname: Tang
authors.affiliation: Center of Hepatopancreaticobiliary Surgery, Henan Provincial People's Hospital, Zhengzhou, Henan, 450003, China.
authors.forename: Jianbin
authors.initials: J
authors.lastname: Chen
authors.affiliation: Center of Hepatopancreaticobiliary Surgery and Liver transplantation, 100 Xisihuang Middle Road, Fengtai District, Beijing, 100039, China. zsun7379@yahoo.com.
authors.forename: Shaotang
authors.initials: S
authors.lastname: Zhou
keywords: Acute-on-chronic; End-stage liver disease; Jejunectomy; Liver transplantation; Phlebothrombectomy; Portal vein thrombosis