Copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Jan 27, 2019; 11(1): 133-137
Published online Jan 27, 2019. doi: 10.4254/wjh.v11.i1.133
Published online Jan 27, 2019. doi: 10.4254/wjh.v11.i1.133
Caval replacement with parietal peritoneum tube graft for septic thrombophlebitis after hepatectomy: A case report
Charlotte Maulat, Isabelle Migueres, Fabrice Muscari, Digestive Surgery, Toulouse University Hospital, Toulouse 31400, France
Léopoldine Lapierre, Guillaume Martin-Blondel, Department of Infectious and Tropical Diseases, Toulouse-Purpan University Hospital, Toulouse 31300, France
Xavier Chaufour, Vascular Surgery Department, Toulouse-Rangueil University Hospital, Toulouse 31059, France
Author contributions: Maulat C, Lapierre L, Martin-Blondel G and Muscari F performed research and wrote the paper; Migueres I and Chaufour X provided critical revision of the manuscript for important intellectual content.
Informed consent statement: The patient gave its informed consent for this publication.
Conflict-of-interest statement: There are no conflicts of interest to report.
CARE Checklist (2016) statement: The CARE Checklist (2016) have been adopted for this manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Charlotte Maulat, Academic Fellow, Digestive surgery, Toulouse University Hospital, 1 Avenue Jean Poulhès, Toulouse 31400, France. charlotte.maulat@gmail.com
Telephone: +33-56-1322741 Fax: +33-56-1322936
Received: September 18, 2018
Peer-review started: September 18, 2018
First decision: October 18, 2018
Revised: November 4, 2018
Accepted: December 6, 2018
Article in press: December 7, 2018
Published online: January 27, 2019
Peer-review started: September 18, 2018
First decision: October 18, 2018
Revised: November 4, 2018
Accepted: December 6, 2018
Article in press: December 7, 2018
Published online: January 27, 2019
Core Tip
Core tip: Caval vein thrombosis after hepatectomy is rare, although it increases mortality and morbidity. Its evolution into a septic thrombophlebitis responsible for persistent septicaemia after a hepatectomy has not been reported to date in the literature. This study reports the management of a 54-year-old woman with peripheral cholangiocarcinoma who developed a suppurated thrombophlebitis of the vena cava following a hepatectomy. A combination of antibiotic and anticoagulation treatments, prompt surgical thrombectomy and complete caval reconstruction was associated with a favorable outcome. Use of the peritoneum as a vascular graft is an inexpensive technique, and it allows caval replacement in a septic area.