Portal vein reconstruction in iatrogenic portal vein ligation
Abstract Laparoscopic cholecystectomy for acute cholecystitis is one of the most performed surgeries and is generally regarded as a safe procedure with a low risk of complications. Vascular and biliary injuries are rare but have severe consequences. No systematic studies have been performed to delin...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-03-01
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| Series: | CVIR Endovascular |
| Online Access: | https://doi.org/10.1186/s42155-025-00525-2 |
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| author | Tony Rizk Derek Groskreutz Carl Forsberg Stephen Stringfellow Ricardo Yamada Marcelo Guimaraes Yara Younan Antony Gayed |
| author_facet | Tony Rizk Derek Groskreutz Carl Forsberg Stephen Stringfellow Ricardo Yamada Marcelo Guimaraes Yara Younan Antony Gayed |
| author_sort | Tony Rizk |
| collection | DOAJ |
| description | Abstract Laparoscopic cholecystectomy for acute cholecystitis is one of the most performed surgeries and is generally regarded as a safe procedure with a low risk of complications. Vascular and biliary injuries are rare but have severe consequences. No systematic studies have been performed to delineate optimal treatment strategies in these scenarios, which are typically managed on a case-by-case basis. The present report describes a patient who underwent a laparoscopic cholecystectomy, complicated by common bile duct and main portal vein ligation, resulting in hepatic infarcts, perihepatic abscess, and portal hypertension with ascites and portomesenteric congestive enteropathy. This case focuses on management of this patient’s vascular injury, which was successfully treated by endovascular portal venous reconstruction using trans-splenic and right internal jugular vein access. |
| format | Article |
| id | doaj-art-ea0a592895e54005b270e9e7de7b3c2a |
| institution | Kabale University |
| issn | 2520-8934 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj-art-ea0a592895e54005b270e9e7de7b3c2a2025-08-20T03:41:40ZengSpringerOpenCVIR Endovascular2520-89342025-03-01811410.1186/s42155-025-00525-2Portal vein reconstruction in iatrogenic portal vein ligationTony Rizk0Derek Groskreutz1Carl Forsberg2Stephen Stringfellow3Ricardo Yamada4Marcelo Guimaraes5Yara Younan6Antony Gayed7Division of Vascular Interventional Radiology, Medical University of South CarolinaDivision of Vascular Interventional Radiology, Medical University of South CarolinaDivision of Vascular Interventional Radiology, Medical University of South CarolinaDivision of Vascular Interventional Radiology, Medical University of South CarolinaDivision of Vascular Interventional Radiology, Medical University of South CarolinaDivision of Vascular Interventional Radiology, Medical University of South CarolinaDivision of Vascular Interventional Radiology, Medical University of South CarolinaDivision of Vascular Interventional Radiology, Medical University of South CarolinaAbstract Laparoscopic cholecystectomy for acute cholecystitis is one of the most performed surgeries and is generally regarded as a safe procedure with a low risk of complications. Vascular and biliary injuries are rare but have severe consequences. No systematic studies have been performed to delineate optimal treatment strategies in these scenarios, which are typically managed on a case-by-case basis. The present report describes a patient who underwent a laparoscopic cholecystectomy, complicated by common bile duct and main portal vein ligation, resulting in hepatic infarcts, perihepatic abscess, and portal hypertension with ascites and portomesenteric congestive enteropathy. This case focuses on management of this patient’s vascular injury, which was successfully treated by endovascular portal venous reconstruction using trans-splenic and right internal jugular vein access.https://doi.org/10.1186/s42155-025-00525-2 |
| spellingShingle | Tony Rizk Derek Groskreutz Carl Forsberg Stephen Stringfellow Ricardo Yamada Marcelo Guimaraes Yara Younan Antony Gayed Portal vein reconstruction in iatrogenic portal vein ligation CVIR Endovascular |
| title | Portal vein reconstruction in iatrogenic portal vein ligation |
| title_full | Portal vein reconstruction in iatrogenic portal vein ligation |
| title_fullStr | Portal vein reconstruction in iatrogenic portal vein ligation |
| title_full_unstemmed | Portal vein reconstruction in iatrogenic portal vein ligation |
| title_short | Portal vein reconstruction in iatrogenic portal vein ligation |
| title_sort | portal vein reconstruction in iatrogenic portal vein ligation |
| url | https://doi.org/10.1186/s42155-025-00525-2 |
| work_keys_str_mv | AT tonyrizk portalveinreconstructioniniatrogenicportalveinligation AT derekgroskreutz portalveinreconstructioniniatrogenicportalveinligation AT carlforsberg portalveinreconstructioniniatrogenicportalveinligation AT stephenstringfellow portalveinreconstructioniniatrogenicportalveinligation AT ricardoyamada portalveinreconstructioniniatrogenicportalveinligation AT marceloguimaraes portalveinreconstructioniniatrogenicportalveinligation AT yarayounan portalveinreconstructioniniatrogenicportalveinligation AT antonygayed portalveinreconstructioniniatrogenicportalveinligation |