Pubblicazioni

Autori:

Tamarozzi, Francesca; Ursini, Tamara; Stroffolini, Giacomo; Badona Monteiro, Geraldo; Buonfrate, Dora; Fittipaldo, Veronica Andrea; Conci, Simone; Gasparini, Clizia; Mansueto, Giancarlo; Guglielmi, Alfredo; Gobbi, Federico

Titolo:

Transjugular intrahepatic portosystemic shunt followed by splenectomy for complicated hepatosplenic schistosomiasis: a case report and review of the literature

Anno:

2024

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Formato:

Elettronico

Referee:

No

Nome rivista:

Lancet Infectious Diseases

ISSN Rivista:

1473-3099

N° Volume:

24

Numero o Fascicolo:

6

Intervallo pagine:

405-414

Parole chiave:

Hepatosplenic schistosomiasis

Breve descrizione dei contenuti:

: Hepatosplenic schistosomiasis is a complex clinical condition caused by the complications of chronic infection with Schistosoma species that cause intestinal schistosomiasis. Hepatosplenic schistosomiasis derives from the fibrotic reaction stimulated around parasite eggs that are transported by the mesenteric circulation to the liver, causing periportal fibrosis. Portal hypertension and variceal gastrointestinal bleeding are major complications of hepatosplenic schistosomiasis. The clinical management of hepatosplenic schistosomiasis is not standardised and a parameter that could guide clinical decision making has not yet been identified. Transjugular intrahepatic portosystemic shunt (TIPS) appears promising for use in hepatosplenic schistosomiasis but is still reported in very few patients. In this Grand Round, we report one patient with hepatosplenic schistosomiasis treated with TIPS, which resulted in regression of oesophageal varices but had to be followed by splenectomy due to persisting severe splenomegaly and thrombocytopenia. We summarise the main challenges in the clinical management of this patient with hepatosplenic schistosomiasis, highlight results of a scoping review of the literature, and evaluate the use of of TIPS in patients with early hepatosplenic schistosomiasis, to improve the prognosis.

Note:

Epub 2024 Feb 15

Id prodotto:

137912

Handle IRIS:

11562/1119672

ultima modifica:

24 gennaio 2025

Citazione bibliografica:

Tamarozzi, Francesca; Ursini, Tamara; Stroffolini, Giacomo; Badona Monteiro, Geraldo; Buonfrate, Dora; Fittipaldo, Veronica Andrea; Conci, Simone; Gasparini, Clizia; Mansueto, Giancarlo; Guglielmi, Alfredo; Gobbi, Federico, Transjugular intrahepatic portosystemic shunt followed by splenectomy for complicated hepatosplenic schistosomiasis: a case report and review of the literature «Lancet Infectious Diseases» , vol. 24 , n. 6 , 2024 , pp. 405-414

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo