Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt.

Autor: Carvalho do Espírito Santo, Maria Cristina, Borges Gryschek, Ronaldo Cesar, Queiroz Farias, Alberto, Andraus, Wellington, Barbosa Carvalho, Noêmia, Munhoz Leite, Olavo Henrique, Corrêa Castro, Felipe, Guido Cerri, Giovanni, Henrique Hypólitti, Gustavo, César Carnevale, Francisco, Moreira de Assis, André
Předmět:
Zdroj: Revista do Instituto de Medicina Tropical de São Paulo; 2022, Vol. 64, p1-4, 4p
Abstrakt: This study aimed to report the first case of a patient with hepatosplenic schistosomiasis mansoni, refractory ascites and portal vein thrombosis treated with a transjugular intrahepatic portosystemic shunt (TIPS), at the Instituto de Radiologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil. After the procedure, the patient recovered favorably and progressed with portal pressure reduction and no deterioration of the liver function. Endovascular shunt modification is a conservative medical approach that often helps in reducing symptoms significantly, making it a less invasive and a safer alternative to liver transplantation for the treatment of schistosomiasis with portal hypertension. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index