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Idiopathic portal hypertension.
Am J Gastroenterol. 1982 Sep; 77(9):642-4.AJ

Abstract

A 60-yr old Italian woman presented with repeated gastrointestinal hemorrhages due to ruptured esophageal varices. No evidence of liver disease could be demonstrated by laboratory tests or by multiple liver biopsies. Angiography revealed a patent portal trunk and the presence of esophageal varices. A side-to-side portacaval shunt was performed, which caused the disappearance of the esophageal varices. There was no recurrent digestive hemorrhage during a 24-month follow-up. A mild deterioration of liver function was demonstrated by laboratory data 16 months after surgical operation and some mild episodes of hepatic encephalopathy occurred. This case can be considered an example of idiopathic portal hypertension, a rare pathological condition with a higher prevalence in certain geographical areas. Its etiology is not known. One important aspect of this entity is its potential to evaluate the effects of surgical portacaval shunt procedure in the absence of liver damage.

Authors

Capussotti L
No affiliation info available
Marucci M
No affiliation info available
Aricó S
No affiliation info available
Del Prever EB
No affiliation info available
Dellepiane M
No affiliation info available
De La Pierre M
No affiliation info available

MeSH

Esophageal and Gastric VaricesFemaleFollow-Up StudiesGastrointestinal HemorrhageHepatic EncephalopathyHumansHypertension, PortalMiddle AgedPortacaval Shunt, SurgicalPostoperative Complications

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

6981348

Citation

Capussotti, L, et al. "Idiopathic Portal Hypertension." The American Journal of Gastroenterology, vol. 77, no. 9, 1982, pp. 642-4.
Capussotti L, Marucci M, Aricó S, et al. Idiopathic portal hypertension. Am J Gastroenterol. 1982;77(9):642-4.
Capussotti, L., Marucci, M., Aricó, S., Del Prever, E. B., Dellepiane, M., & De La Pierre, M. (1982). Idiopathic portal hypertension. The American Journal of Gastroenterology, 77(9), 642-4.
Capussotti L, et al. Idiopathic Portal Hypertension. Am J Gastroenterol. 1982;77(9):642-4. PubMed PMID: 6981348.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Idiopathic portal hypertension. AU - Capussotti,L, AU - Marucci,M, AU - Aricó,S, AU - Del Prever,E B, AU - Dellepiane,M, AU - De La Pierre,M, PY - 1982/9/1/pubmed PY - 1982/9/1/medline PY - 1982/9/1/entrez SP - 642 EP - 4 JF - The American journal of gastroenterology JO - Am J Gastroenterol VL - 77 IS - 9 N2 - A 60-yr old Italian woman presented with repeated gastrointestinal hemorrhages due to ruptured esophageal varices. No evidence of liver disease could be demonstrated by laboratory tests or by multiple liver biopsies. Angiography revealed a patent portal trunk and the presence of esophageal varices. A side-to-side portacaval shunt was performed, which caused the disappearance of the esophageal varices. There was no recurrent digestive hemorrhage during a 24-month follow-up. A mild deterioration of liver function was demonstrated by laboratory data 16 months after surgical operation and some mild episodes of hepatic encephalopathy occurred. This case can be considered an example of idiopathic portal hypertension, a rare pathological condition with a higher prevalence in certain geographical areas. Its etiology is not known. One important aspect of this entity is its potential to evaluate the effects of surgical portacaval shunt procedure in the absence of liver damage. SN - 0002-9270 UR - https://www.unboundmedicine.com/medline/citation/6981348/Idiopathic_portal_hypertension_ L2 - http://www.diseaseinfosearch.org/result/5881 DB - PRIME DP - Unbound Medicine ER -