LAKI – LAKI 32 TAHUN DENGAN HIPERTENSI PORTA NON-SIROSIS AKIBAT IDIOPATIK FISTULA ARTERI VENA LIENALIS
Article Sidebar
-
non-cirrhotic portal hypertension, therapy, idiopathic splenic artery venous fistula
Abstract
Hipertensi porta non-sirosis merupakan penyebab perdarahan saluran cerna bagian atas yang sering salah didiagnosis sebagai sirosis hati. Berbeda dengan sirosis hati, patologi utama hipertensi porta non-sirosis utamanya terletak pada sistem vena porta tanpa adanya kegagalan fungsi hati. Komplikasi utama hipertensi porta non-sirosis adalah perdarahan saluran cerna akibat varises esofagus maupun gaster dan hipersplenisme. Modalitas terapi hipertensi porta non sirosis meliputi endoskopi ligasi atau skleroterapi serta pembedahan. Pada laporan kasus ini dilaporkan mengenai diagnosis dan tata laksana pasien laki-laki berusia 28 tahun dengan hipertensi porta non-sirosis akibat idiopatik fistula arteri vena lienalis.
References
Ding, P., Li, Z., Han, X. W., Wang, Z. G., Zhang, W. G., & Fu, M. T. (2014). Portal, mesenteric, and splenic vein thromboses after endovascular embolization for gastrointestinal bleeding caused by a splenic arteriovenous fistula. Annals of Vascular Surgery, 28(5), 1322-e1.
European Association For The Study Of The Liver. (2016). EASL Clinical Practice Guidelines: Vascular diseases of the liver. Journal of hepatology, 64(1), 179-202.
Goel, A., Elias, J. E., Eapen, C. E., Ramakrishna, B., & Elias, E. (2014). Idiopathic non-cirrhotic intrahepatic portal hypertension (NCIPH)—newer insights into pathogenesis and emerging newer treatment options. Journal of Clinical and Experimental Hepatology, 4(3), 247-256.
Hogendoorn, W., Lavida, A., Hunink, M. M., Moll, F. L., Geroulakos, G., Muhs, B. E., & Sumpio, B. E. (2014). Open repair, endovascular repair, and conservative management of true splenic artery aneurysms. Journal of Vascular Surgery, 60(6), 1667-1676.
Khanna, R., & Sarin, S. K. (2014). Non-cirrhotic portal hypertension–diagnosis and management. Journal of hepatology, 60(2), 421-441.
Kmeid, M., Liu, X., Ballentine, S., & Lee, H. (2021). Idiopathic non-cirrhotic portal hypertension and porto-sinusoidal vascular disease: review of current data. Gastroenterology Research, 14(2), 49.
Moghaddam, M. B., Kalra, M., Bjarnason, H., & Vrtiska, T. J. (2011). Splenic arteriovenous fistula: successful treatment with an Amplatz occlusion device. Annals of vascular surgery, 25(4), 556-e17.
Riggio, O., Gioia, S., Pentassuglio, I., Nicoletti, V., Valente, M., & d’Amati, G. (2016). Idiopathic noncirrhotic portal hypertension: current perspectives. Hepatic medicine: evidence and research, 81-88.
Schouten, J. N., Verheij, J., & Seijo, S. (2015). Idiopathic non-cirrhotic portal hypertension: a review. Orphanet journal of rare diseases, 10, 1-8.
Authors
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.