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DOI: 10.1055/s-0045-1809304
Percutaneous Mesocaval Shunt
Abstract
Extrahepatic portal vein occlusion (EHPVO) is a primary vascular condition characterized by chronic obstruction of the extrahepatic portal vein and is a significant cause of ectopic varices, variceal bleeding, and morbidity. Transjugular intrahepatic portosystemic shunt is a critical procedure in decompressing the portal system. An unfortunate cohort of patients with refractory variceal bleeding who suffer from coexistent chronic portal vein thrombosis, often have limited treatment options. We present a case of EHPVO, complicated with hepatitis C virus infection and cirrhosis with refractory variceal bleed in which percutaneous mesocaval shunt was performed.
Keywords
EHPVO (extrahepatic portal venous obstruction) - percutaneous mesocaval shunt - ectopic varicesPublication History
Article published online:
09 July 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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