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HOME > J Liver Cancer > Volume 12(2); 2012 > Article
Case Report A Case of Progressive Superior Mesenteric Vein Thrombosis after Percutaneous Transhepatic Obliteration in Infiltrative Hepatocellular Carcinomaswith Portal Vein Thrombosis
Hee Yeon Kim1, Chung-Hwa Park1, Sung won Lee1, Do Seon Song1, Myeong Jun Song1, Jong Young Choi1, Seung Kew Yoon1, Si Hyun Bae1, Jung Suk Oh2, Ho Jong Chun2
Journal of Liver Cancer 2012;12(2):146-150
Published online: September 30, 2012
1Division of Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Interventional Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Corresponding author:  Si Hyun Bae,
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Percutaneous transhepatic obliteration of gastroesophageal varices is one of the effective emergency procedure when endoscopic therapy is not indicated or has been failed. One of the major complications of this procedure is portal thrombosis. A 53-year-old male with hepatitis B virus infection was diagnosed of infiltrative hepatocellular carcinoma with right portal vein thrombosis. On the next day after being hospitalization, the patient developed variceal bleeding. With medical management, endoscopic therapy was initially attempted, however, it ended in failure. Emergency percutaneous transhepatic obliteration of bleeding gastroesophageal varices was considered as a next option. Bleeding from gastroesophageal varices was stopped after percutaneous obliateration, however, portal thrombosis was extended to splenic vein or superior mesenteric veins.

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JLC : Journal of Liver Cancer