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Furthermore, no report to date has described the performance of liver transplantation for the treatment of BCS associated with HES. We herein describe a 54-year-old man who underwent deceased-donor liver transplantation (DDLT) for treatment of BCS associated with HES. Case: A 54-year-old man was found to have an increased eosinophil count during a medical check-up. After exclusion of hematopoietic neoplastic diseases and secondary eosinophilia, idiopathic hypereosinophilia was diagnosed. Oral prednisolone was administered to the patient, and his eosinophil count immediately decreased to a normal level. He had an uneventful course without complications for 11 months but then presented with bloating and malaise. Imaging studies including ultrasonography, enhanced computed tomography, and angiography revealed BCS associated with HES. Transjugular intrahepatic portosystemic shunt failed because of complete obstruction of the hepatic veins. 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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Budd-Chiari Syndrome Associated With Hypereosinophilic Syndrome Treated by Deceased-Donor Liver Transplantation: A Case Report

http://hdl.handle.net/2237/00031648
bcf6fb8f-9c5b-4269-a73c-f07613e91d1f
名前 / ファイル ライセンス アクション
LT_for_HES-BCS.pdf LT for HES-BCS (6.6 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-03-16
タイトル
タイトル Budd-Chiari Syndrome Associated With Hypereosinophilic Syndrome Treated by Deceased-Donor Liver Transplantation: A Case Report
著者 Shizuku, Masato

× Shizuku, Masato

WEKO 96801

Shizuku, Masato

Search repository
Kurata, Nobuhiko

× Kurata, Nobuhiko

WEKO 96802

Kurata, Nobuhiko

Search repository
Jobara, Kanta

× Jobara, Kanta

WEKO 96803

Jobara, Kanta

Search repository
Yoshizawa, Atsushi

× Yoshizawa, Atsushi

WEKO 96804

Yoshizawa, Atsushi

Search repository
Kamei, Hideya

× Kamei, Hideya

WEKO 96805

Kamei, Hideya

Search repository
Amano, Nozomi

× Amano, Nozomi

WEKO 96806

Amano, Nozomi

Search repository
Genda, Takuya

× Genda, Takuya

WEKO 96807

Genda, Takuya

Search repository
Ogura, Yasuhiro

× Ogura, Yasuhiro

WEKO 96808

Ogura, Yasuhiro

Search repository
権利
権利情報 © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
抄録
内容記述 Introduction: Budd-Chiari syndrome (BCS) associated with hypereosinophilic syndrome (HES) is very rare, and only a few reports have described its treatment. Furthermore, no report to date has described the performance of liver transplantation for the treatment of BCS associated with HES. We herein describe a 54-year-old man who underwent deceased-donor liver transplantation (DDLT) for treatment of BCS associated with HES. Case: A 54-year-old man was found to have an increased eosinophil count during a medical check-up. After exclusion of hematopoietic neoplastic diseases and secondary eosinophilia, idiopathic hypereosinophilia was diagnosed. Oral prednisolone was administered to the patient, and his eosinophil count immediately decreased to a normal level. He had an uneventful course without complications for 11 months but then presented with bloating and malaise. Imaging studies including ultrasonography, enhanced computed tomography, and angiography revealed BCS associated with HES. Transjugular intrahepatic portosystemic shunt failed because of complete obstruction of the hepatic veins. Therefore, the patient was introduced to our hospital for liver transplantation. DDLT was performed with venovenous bypass 1 month after the patient was placed on the DDLT waiting list. The explanted hepatic veins were completely occluded and organized. The patient’s eosinophil count was maintained at a normal level with prednisolone treatment after DDLT. Conclusions: Liver transplantation can be a treatment option for BCS associated with HES if neoplastic diseases and secondary eosinophilia have been excluded. Life-long oral steroid therapy is required to control HES even after liver transplantation.
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2020-11-01
内容記述タイプ Other
出版者
出版者 Elsevier
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
DOI
関連識別子
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.transproceed.2019.08.003
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0041-1345
書誌情報 Transplantation Proceedings

巻 51, 号 9, p. 3140-3146, 発行日 2019-11
著者版フラグ
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