Biliary and portal vein strictures following treatment of Hodgkin's lymphoma

Treatment of abdominal lymphoma can be associated with bowel stricture or perforation. Rarely, the common bile duct or portal vein can be involved. This is the first case of stricture formation of both the portal vein and common bile duct in a patient following successful treatment of lymphoma. The...

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Published in:Annals of the Royal College of Surgeons of England 2012-10, Vol.94 (7), p.e225-e19
Main Authors: Roberts, K J, Brown, R, Patel, J V, Toogood, G J
Format: Article
Language:English
Subjects:
Abdomen
Bile
Chemotherapy
Common Bile Duct - pathology
Constriction, Pathologic - etiology
Hodgkin Disease - therapy
Humans
Hypertension
Lymphoma
Medical imaging
Online Case Report
Portal Vein - pathology
Surgery
Veins & arteries
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cited_by cdi_FETCH-LOGICAL-c448t-a114f841fb00c8e47f72e13472b408609689292f046af7604e880a47885c4fd23
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container_title Annals of the Royal College of Surgeons of England
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creator Roberts, K J
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description Treatment of abdominal lymphoma can be associated with bowel stricture or perforation. Rarely, the common bile duct or portal vein can be involved. This is the first case of stricture formation of both the portal vein and common bile duct in a patient following successful treatment of lymphoma. The development of extensive hilar varices rendered surgical management high risk. A staged approach to treatment was used. First, a percutaneous portal vein stent was placed, resulting in resolution of the hilar varices. This was followed by a surgical hepaticojejunostomy, performed without complication. Gastrointestinal complications are rare following treatment of lymphoma but may affect a variety of sites. The safe and effective treatment of this case highlights the benefit of a multidisciplinary approach to complex medical and surgical problems.
doi_str_mv 10.1308/003588412X13373405385854
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subjects Abdomen
Bile
Chemotherapy
Common Bile Duct - pathology
Constriction, Pathologic - etiology
Hodgkin Disease - therapy
Humans
Hypertension
Lymphoma
Medical imaging
Online Case Report
Portal Vein - pathology
Surgery
Veins & arteries
title Biliary and portal vein strictures following treatment of Hodgkin's lymphoma
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