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[Portal thrombosis: early complication of azygo-portal disconnection in the treatment of bleeding esophageal varices]. 1990
E Chaib, and
V Pugliesi, and
M de L Capacci, and
L C D'Albuquerque, and
A Widman, and
A P Bernardini, and
A de O Silva, and
W A Saad, and
M C Machado, and
H W Pinotti
Serviço de Cirurgia do Fígado e de Transplante de Orgãos, Departamento de Gastroenterologia do HC@FMUSP.
The authors studied 30 patients with bleeding from esophageal varices due to portal hypertension. They underwent the disconnection of portal and azygos veins and splenectomy. The immediate postoperative complications were: portal thrombosis in four patients (13.3%); subphrenic abscess in two (6.6%); pulmonary embolism in one (3.3%) and esophageal perforation in one (3.3%). The manifestations of portal thrombosis were ascites, and fever (without leukocytosis). One patient with portal thrombosis who had intractable ascite was submitted to peritoneovenous shunting.
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