Endophlebitis Obliterating Hepatic Veins

Endophlebitis obliterans of the hepatic veins is a chronic disease characterized by obliteration (blockage) of the hepatic veins and progressive liver fibrosis.

Causes

The main cause is thrombosis and inflammation of the walls of the hepatic veins, which leads to their obliteration. This is most often due to bleeding disorders or injury. Congenital vein anomalies are also possible.

Symptoms

1. Pain in the right hypochondrium
2. Liver enlargement
3. Ascites (accumulation of fluid in the abdominal cavity)
4. Portal hypertension
5. Bleeding from varicose veins of the esophagus and stomach
6. Jaundice
7. Liver failure

Diagnosis is based on ultrasound, CT, MRI and liver angiography.

Treatment consists of prescribing anticoagulants and antiplatelet agents, as well as surgical methods: transjugular intrahepatic portosystemic shunting, liver transplantation.

The prognosis with timely treatment can be relatively favorable. Without treatment, the disease may progress and liver failure may develop.

Endophlebitis obliterans of the hepatic veins: problem, diagnosis and treatment

Endophlebitis obliterans venarum hepaticarum is a serious disease characterized by inflammation and subsequent obstruction of the hepatic veins. This condition can lead to significant disturbances in liver function and cause various clinical manifestations. In this article we will look at the main aspects of hepatic vein occlusive endophlebitis, including its causes, symptoms, diagnosis and treatment.

The causes of hepatic vein occlusive endophlebitis are not fully understood, but it is believed that the main risk factor is chronic liver inflammation, such as cirrhosis or chronic hepatitis. These conditions can lead to changes in the structure of the hepatic veins, causing inflammation and subsequent obstruction.

Symptoms of endophlebitis obliterating the hepatic veins can be varied and depend on the degree of damage and the functional state of the liver. Some of the common symptoms include fatigue, jaundice, abdominal swelling, enlarged liver and spleen, and tumors in the venous system of the digestive tract. In some cases, complications such as portal hypertension or bleeding from varices of the digestive tract are possible.

Diagnosis of endophlebitis obliterating the hepatic veins includes a clinical examination, anamnesis, laboratory and instrumental studies. Laboratory tests may show elevated levels of liver enzymes, bilirubin, and other inflammatory markers. Procedures such as ultrasound, computed tomography and magnetic resonance cholangiography may be prescribed to confirm the diagnosis and assess the extent of liver damage.

Treatment of hepatic vein occlusive endophlebitis is aimed at eliminating inflammation, relieving obstruction and supporting liver function. In some cases, surgery may be required to restore normal blood flow to the hepatic veins. In addition, patients may be prescribed medications to reduce inflammation and improve liver function, as well as recommendations for lifestyle changes, including diet and avoidance of alcohol.

In conclusion, hepatic vein endophlebitis obliterans is a serious condition that can have significant consequences on the liver function and overall health of the patient. Early seeking of medical help and timely treatment play an important role in managing this condition and preventing complications. To reduce the risk of developing hepatic vein occlusive endophlebitis, it is important to maintain a healthy lifestyle, including proper nutrition, physical activity and avoiding excessive alcohol consumption.

However, it is important to note that this article does not replace consultation with a qualified physician. If you suspect hepatic vein occlusive endophlebitis or other health problems, consult your doctor for an accurate diagnosis and treatment recommendations.