emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университетemcardio-199Research ArticleКлинический случайКлинический случай лечения пациента с портальной гипертензией, развившейся на фоне тромбоза воротной веныClinical case of treatment of a patient with portal hypertension developed as a result of portal vein thrombosisМогилевецЭ. В.MahiliavetsE. V.УО «Гродненский государственный медицинский университет»Grodno State Medical University202010112025421030–1036Copyright © Могилевец Э.В., 20252025Могилевец Э.В.Mahiliavets E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/199

На долю нецирротических причин развития портальной гипертензии приходится порядка 10%. Факторами, ведущими к ее развитию, могут являться развитие тромбоза в системе воротной вены, окклюзия, вследствие панкреатита, опухоли поджелудочной железы, другие причины. Острое кровотечение из варикозно расширенных вен пищевода и желудка (ВРВПЖ) является грозным осложнением портальной гипертензии независимо от ее этиологии. Тактика лечения и профилактики кровотечений из ВРВПЖ у пациентов с «нецирротическим неопухолевым тромбозом воротной вены» (ННТВВ) в целом соответствует такой же, как и для внутрипеченочной портальной гипертензии на фоне цирроза печени с некоторыми дополнениями. Цель. Представление результатов клинического наблюдения выполнения открытой операции Хассаб (эзофагогастральная деваскуляризация безтранссекции пищевода + спленэктомия) у пациента с тромбозом воротной вены, осложненным портальной гипертензией и ВРВПЖ, а также краткий литературный экскурс по данному вопросу.

Abstract. Non-cirrhotic causes of the development of portal hypertension make upabout 10%. The factors leading to its development are the development of thrombosis in the portal vein system, occlusion due to pancreatitis, pancreatic tumors, and other causes. Acute bleeding from esophageal varices is a formidable complication of portal hypertension, regardless of its etiology. The tactics of treatment and prevention of bleeding from esophageal varices in patients with portal vein thrombosis generally corresponds to that for intrahepatic portal hypertension in liver cirrhosis with some additions. Aim. Presentation of the results of clinical observation of an open Hassab operation (esophagogastric devascularization without esophageal transection + splenectomy) in a patient with portal vein thrombosis complicated by portal hypertension and esophageal varices, as well as a short literary excursion on this issue.

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The authors declare that there are no conflicts of interest present.