LIVER VENOUS PATHOLOGY AS CAUSE OF MECHANICAL JAUNDICE AND LIVER VEIN INJURY IN PERCUTANEOUS TRANSHEPATIC DRAINAGE

DOI: https://doi.org/10.29296/25877305-2022-07-12
Issue: 
7
Year: 
2022

S. Prozorov(1, 2), MD; Professor P. Ivanov(1), MD; Professor S. Tarabarin(2), MD
1-N.V. Sklifosovky Research Institute for Emergency Medicine of the Moscow Health Department, Moscow
2-JSC «Medicina», Clinic of Academician Roitberg, Moscow

In case of mechanical jaundice, when endoscopic retrograde stenting of bile ducts is impossible, percutaneous transhepatic drainage (PTD) is performed. The purpose of the work is to analyze cases of venous liver pathology in mechanical jaundice and liver vein injury after PTD. Material and methods. The results of examination and treatment of 159 patients with mechanical jaundice, who underwent PTD, were analyzed. Results. Venous liver pathology occurred in only 2 patients. Venous complications, нemobilia after drainage were in 12 patients (7,55%). Conclusion. Liver vein pathology – a rare cause of mechanical jaundice and a rare concomitant disease. Prior to PTD careful analysis of ultrasound, CT and MRI data is needed to determine optimal access to prevent hemobilia. In cases of vein damage and hemobilia, subsequent interventions are generally limited to changing the drainage position under X-ray control or installing larger diameter drainage.
Keywords: 
hepatology
surgery
mechanical jaundice
percutaneous transhepatic drainage
portal vein aneurysm
iatrogenic liver vein injury
hemobilia

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