Abstract

Background

Migration of the left hepatic lobe into the potential space following right lobe resection can result in torsion and hepatic venous outflow obstruction with compromised venous return from the IVC. If untreated, significant morbidity and mortality can develop.

Case presentation

We report a case of a 29-year-old female with Lynch syndrome who underwent right lobe resection for a metastatic hepatic tumor. There was subsequent migration of the liver remnant, torsion of the IVC, and impaired hepatic outflow, successfully treated with thrombectomy and stenting.

Conclusion

Following right hepatectomy, hepatic venous outflow obstruction should be consdered in the setting of hepatorenal failure and hemodynamic instability. Endovascular stenting is a viable treatment option.

Details

Title
Percutaneous treatment of IVC obstruction due to post-resection hepatic torsion associated with IVC thrombosis
Author
Van Ha Thuong G 1 ; Tullius, Thomas G, Jr 1   VIAFID ORCID Logo  ; Navuluri Rakesh 1 ; Michael, Millis J 2 ; Leef, Jeffrey A 1 

1  University of Chicago Medical Center, Department of Radiology, Chicago, USA (GRID:grid.412578.d) (ISNI:0000 0000 8736 9513) 
2  University of Chicago Medical Center, Department of Surgery, Chicago, USA (GRID:grid.412578.d) (ISNI:0000 0000 8736 9513) 
Publication year
2019
Publication date
Dec 2019
Publisher
Springer Nature B.V.
e-ISSN
25208934
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s42155-019-0056-2
ProQuest document ID
2429905583
Copyright
© The Author(s) 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.