ID | 116336 |
著者 |
田中, 貴大
Tokushima University
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キーワード | B-RTO
congenital extrahepatic portosystemic shunt
FNH-like nodule
portopulmonary hypertension
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資料タイプ |
学術雑誌論文
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抄録 | A 42-year-old woman visited our hospital due to syncope. Contrast-enhanced CT revealed portosystemic shunt, portal vein hypoplasia, and multiple liver nodules. The histological examination of a liver biopsy specimen exhibited portal vein hypoplasia and revealed that the liver tumor was positive for glutamine synthetase. The patient was therefore diagnosed with congenital extrahepatic portosystemic shunt type II, and with focal nodular hyperplasia (FNH)-like nodules. She had the complication of severe portopulmonary hypertension and underwent complete shunt closure by balloon-occluded retrograde transvenous obliteration (B-RTO). The intrahepatic portal vein was well developed at 1 year after B-RTO, and multiple liver nodules completely regressed. Her pulmonary hypertension also improved.
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掲載誌名 |
Internal Medicine
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ISSN | 13497235
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出版者 | The Japanese Society of Internal Medicine
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巻 | 60
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号 | 12
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開始ページ | 1839
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終了ページ | 1845
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発行日 | 2021-06-15
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権利情報 | The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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言語 |
eng
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著者版フラグ |
出版社版
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部局 |
医学系
病院
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