Recurrent hypersplenism caused by alcoholic cardiomyopathy after distal splenorenal shunt.
1986; National Institutes of Health; Volume: 99; Issue: 4 Linguagem: Inglês
Autores
W.L. Garner, Patrick S. Vaccaro, Larry C. Carey,
Tópico(s)Abdominal Trauma and Injuries
ResumoThe hypersplenism associated with portal hypertension usually resolves with a successful shunting procedure. Recurrent hypersplenism has been associated with shunt thrombosis. We describe a patient with pancytopenia, jaundice, and diffuse edema after a distal splenorenal shunt. His shunt was angiographically proved patent. Extensive evaluation revealed severe alcoholic cardiomyopathy with passive splenic congestion. He died of cardiac failure. Alcohol is a systemic toxin that affects other organs, as well as the liver.
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