| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2013-04-30 |
| タイトル |
|
|
タイトル |
A Case of Cryptogenic Liver Cirrhosis with Huge Splenomegaly |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
cryptogenic liver cirrhosis |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
living donor liver transplantation |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
splenectomy |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Umehara, Minoru
Narumi, Shunji
Sugai, Michihiro
Toyoki, Yoshikazu
Ishido, Keinosuke
Kudo, Daisuke
Kimura, Norihisa
Kobayashi, Tamotsu
Hakamada, Kenichi
|
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13370 |
|
|
姓名 |
ウメハラ, ミノル |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
11255 |
|
|
姓名 |
ナルミ, シュンジ |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13911 |
|
|
姓名 |
スガイ, ミチヒロ |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13417 |
|
|
姓名 |
トヨキ, ヨシカズ |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13018 |
|
|
姓名 |
イシド, ケイノスケ |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13893 |
|
|
姓名 |
クドウ, ダイスケ |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13872 |
|
|
姓名 |
キムラ, ノリヒサ |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13916 |
|
|
姓名 |
コバヤシ, タモツ |
| 著者(ヨミ) |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
11312 |
|
|
姓名 |
ハカマダ, ケンイチ |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13386 |
|
|
姓名 |
梅原, 実 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
11250 |
|
|
姓名 |
鳴海, 俊治 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13918 |
|
|
姓名 |
須貝, 道博 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13428 |
|
|
姓名 |
豊木, 嘉一 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
11779 |
|
|
識別子Scheme |
研究者総覧 |
|
|
識別子URI |
http://hue2.jm.hirosaki-u.ac.jp/html/194_ja.html |
|
|
識別子 |
194 |
|
|
姓名 |
石戸, 圭之輔 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
2988 |
|
|
姓名 |
工藤, 大輔 |
|
|
言語 |
ja |
|
|
姓 |
工藤 |
|
|
言語 |
ja |
|
|
名 |
大輔 |
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|
言語 |
ja |
|
|
|
識別子Scheme |
ISNI |
|
|
|
識別子URI |
http://www.isni.org/isni/ |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
13879 |
|
|
識別子Scheme |
研究者総覧 |
|
|
識別子URI |
http://hue2.jm.hirosaki-u.ac.jp/html/100000325_ja.html |
|
|
識別子 |
100000325 |
|
|
姓名 |
木村, 憲央 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
14158 |
|
|
姓名 |
小林, 完 |
| 著者別名 |
|
|
|
識別子Scheme |
WEKO |
|
|
識別子 |
11307 |
|
|
識別子Scheme |
研究者総覧 |
|
|
識別子URI |
http://hue2.jm.hirosaki-u.ac.jp/html/257_ja.html |
|
|
識別子 |
257 |
|
|
姓名 |
袴田, 健一 |
| 著者所属 |
|
|
値 |
Department of Pediatric Surgery, Hirosaki University School of Medicine |
| 著者所属 |
|
|
値 |
Department of Advanced Transplant and Regenerative Medicine, Hirosaki University School of Medicine |
| 著者所属 |
|
|
値 |
Department of Surgery, Hirosaki University School of Medicine |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Introduction
We never knew how the liver function goes after splenectomy in case of huge splenomegaly because of the dramatic portal flow alteration. In this report, we will present a case of cryptogenic liver cirrhosis with huge splenomegaly.
Case presentation
A 14 years old male was admitted with huge splenemogaly and hepatomegaly. Computed tomography showed enlarged liver and huge spleen that occupied large volume of abdominal and pelvic cavity. His ADL was significantly deteriorated, and the patient could not stand up because of exertional dyspnea. Although the etiology of the patient was not determined in spite of several liver biopsies and laboratorial tests, we planned splenectomy to improve his ADL. Also, the progression of liver insufficiency was expected because the portal flow could be dramatically changed after the removal of the huge spleen. Therefore, we prepared for the living donor liver transplantation at first, and then splenectomy was performed. After the first operation, his general condition was improved and the liver function was not deteriorated for 6 months. Unfortunately, rapid progression of jaundice from his primary disease was occurred, and living donor liver transplantation using left lobe graft from his mother was performed 4 months later. The patient survived the two-stage liver transplantation procedure without major complications.
Conclusion
Our case suggests that we should consider the possibility of liver deterioration after splenectomy for the huge splenomegaly. In case of rapid deterioration of liver function, liver transplantation is the only feasible option. |
| 引用 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
弘前医学. 64(Suppl.), 2013, p.S113-S116 |
| 書誌情報 |
弘前医学
巻 64,
号 Supplement,
p. S113-S116,
発行日 2013-04-02
|
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0439-1721 |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00211444 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 日本十進分類法 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| NIIサブジェクト |
|
|
主題Scheme |
Other |
|
主題 |
医学 |
| 出版者 |
|
|
出版者 |
弘前大学大学院医学研究科・弘前医学会 |
| 資源タイプ |
|
|
値 |
Article |
HirosakiMedJ_64_S113.pdf (175.3 kB)
