publication . Article . 2016

Transjugular Intrahepatic Porto-Systemic Stent-Shunt for Therapy of Bleeding Esophageal Varices Due to Extramedullary Hematopoiesis in Primary Myelofibrosis: A Case Report

Veit Phillip; Hermann Berger; Melanie Straub; Bernd Saugel; Matthias Treiber; Henrik Einwächter; Roland M. Schmid; Wolfgang Huber;
Open Access
  • Published: 01 Jul 2016 Journal: Onkologie, volume 35, pages 368-371 (issn: 0378-584X, eissn: 1423-0240, Copyright policy)
  • Publisher: S. Karger AG
Abstract
Background: Primary myelofibrosis belongs to the group of myeloproliferative syndromes. Extramedullary hematopoiesis in the liver can lead to portal hypertension. Patient and Methods: We report a case of a patient with life-threatening, endoscopically not treatable bleeding from esophageal varices due to extramedullary hematopoiesis of the liver that was successfully treated with placement of a transjugular intrahepatic porto-systemic stent-shunt (TIPS). Results: Therapy of variceal bleeding by TIPS insertion was successful. During a 29-month follow-up, no hepatic failure, hepatic encephalopathy, or further variceal bleeding episode occurred. Conclusion: TIPS pl...
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free text keywords: Cancer Research, Oncology, Hematology, General Medicine, Transjugular intrahepatic porto-systemic stent-shunt;Myelofibrosis, primary;Esophageal varices;Portal hypertension;Hematopoiesis, extramedullary, Hepatic encephalopathy, medicine.disease, medicine, Cirrhosis, Stent, medicine.medical_treatment, business.industry, business, Extramedullary hematopoiesis, Portal hypertension, Myelofibrosis, Radiology, medicine.medical_specialty, Shunt (electrical), Esophageal varices, ddc:
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