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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Surgical approach to multifocal hepatocellular carcinoma with portal vein thrombosis and arterioportal shunt leading to portal hypertension and bleeding: a case report

World Journal of Surgical Oncology > Ausgabe 1/2012
Francesca Ratti, Federica Cipriani, Michele Paganelli, Gianfranco Ferla, Luca AM Aldrighetti
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-34) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

FR had the idea of the case report and wrote the manuscript. FC collected all patients data, follow up and radiological images and participated to manuscript preparation. MP and GF provided technical assistance and supported in discussion elaboration to magnify case report importance. LA contributed to discussion writing, performed the surgical operation and elaborated patient's therapeutic strategy.
All authors have read and approved the final manuscript.


It is reported the case of a 69 years man who presented to the Emergency Room because of pain and abdominal distension from ascites. After admission and paracentesis placement, he developed a digestive hemorrhage due to oesophageal varices from portal ipertension secondary to the formation of a portal shunt concomitant with a multifocal HepatoCellular Carcinoma (HCC) with portal vein thrombosis (PVT). The patient underwent endoscopic varices ligation, twice transarterial embolization (TAE) of arterial branches feeding the shunt and subsequent left hepatectomy. During the postoperative course he developed mild and transient signs of liver failure and was discharged in postoperative day 16. He is alive and disease free 8 months after surgery.
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