Abstract
The study describes a syndrome, the splenohepatic and gastroduodenal steal syndrome, demonstrable by angiography in 18 patients before and after liver transplantation. Following the initial observation of a splenohepatic steal syndrome in a patient with unexplained elevation of hepatic enzymes after liver transplantation a prospective angiography study was performed which included all liver transplant recipients and patients after liver transplantation with unexplained impaired liver function tests and a hypersplenism with thrombo- and leucocytopenia. Ten steal syndromes were demonstrated before and eight after hepatic transplantation. The therapeutic modalities, including splenic artery embolization with secondary splenectomy and splenectomy without prior embolization, resulting in a normalisation of the liver function tests, are discussed.
Original language | English |
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Pages (from-to) | 111-116 |
Number of pages | 6 |
Journal | European Radiology |
Volume | 2 |
Issue number | 2 |
DOIs | |
Publication status | Published - Apr 1992 |
Externally published | Yes |
Keywords
- Hypersplenism
- Liver Transplantation
- Splenic artery embolization
- Splenohepatic/gastroduodenal steal syndrome
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging