Document Detail

Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy.
MedLine Citation:
PMID:  25400477     Owner:  NLM     Status:  In-Data-Review    
CASE REPORT: a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma, even without precipitant factors. She had a wide portosystemic shunt and also portal vein thrombosis. The abdominal angiography confirmed the splenorenal shunt and showed other shunts. The larger shunt was embolized through placement of microcoils, and the patient had no recurrence of overt HE. There was a little increase of esophageal and gastric varices, but no endoscopic treatment was needed. Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients, portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization. However, in particular cases with many shunts and severe HE, we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery. In conclusion, we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis. As the patient had other shunts, she was successfully treated by embolization of the larger shunt.
Letícia de Campos Franzoni; Fábio Cardoso de Carvalho; Rafael Gomes de Almeida Garzon; Fábio da Silva Yamashiro; Laís Augusti; Lívia Alves Amaral Santos; Mariana de Souza Dorna; Júlio Pinheiro Baima; Talles Bazeia Lima; Carlos Antonio Caramori; Giovanni Faria Silva; Fernando Gomes Romeiro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  20     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15910-5     Citation Subset:  IM    
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