Hepatic encephalopathy due to a porto-systemic shunt with reverse circulation in the portal tract. A case report.

Suzuki, Takafumi; Takasaki, Ken; Watayo, Takaho; Tsugita, Masashi; Aruga, Atsushi; Miyazaki, Syoujiro; Katsura, Koji; Otsubo, Takehito; Nakagami, Tetsuo; Kobayashi, Seiichiro; Hanyu, Fujio; Saito, Akiko; Obata, Yutaka

doi:10.2957/kanzo.32.730

Cited by 3 publications

(1 citation statement)

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“…Chronic recurrent hepatic encephalopathy has been treated medically, with only the occasional use of surgical intervention 8,9 . Recently, transcutaneal occlusion of shunts has been performed in patients with portal‐systemic encephalopathy 10,11 .…”

Section: Discussionmentioning

confidence: 99%

Embolization of the left portal vein to inferior vena cava shunts for chronic recurrent hepatic encephalopathy via the mesenteric vein

Takayama

Moriura

Nagata

et al. 2001

J of Gastro and Hepatol

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Diagnostic imaging and embolization therapy for very rare intrahepatic portal-systemic shunts with liver cirrhosis are reported. An 82-year-old woman was admitted to the hospital (Yachiyo Hospital) because of hepatic encephalopathy. Computed tomography with contrast enhancement demonstrated anomalous vessels between the portal vein and the inferior vena cava. Those shunts were suspected as the cause of her encephalopathy with hyperammonemia. Portography through McBurney's laparotomy demonstrated two portal-caval shunts; one was from the bifurcation of the portal vein and the other was from the left portal vein. They seemed to originate from the vascular system of the caudate lobe, and were obstructed with stainless coils. The patient is well with a normal serum ammonia level 40 months following the intervention.

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Section: Discussionmentioning

confidence: 99%

Embolization of the left portal vein to inferior vena cava shunts for chronic recurrent hepatic encephalopathy via the mesenteric vein

Takayama

Moriura

Nagata

et al. 2001

J of Gastro and Hepatol

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New trends in hepatocellular carcinoma

Okuda

1993

Int J Clin Lab Res

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This review discusses the etiological association of hepatitis C virus with hepatocellular carcinoma and recent progress in the understanding of early histopathological changes that occur in cirrhotic livers leading to hepatocarcinogenesis. In some parts of the world (for example Japan) hepatitis C virus infection is becoming a more important etiological factor in the pathogenesis of hepatocellular carcinoma than infection with hepatitis B virus. Biopsy-proven adenomatous hyperplasia often progresses to hepatocellular carcinoma and adenomatous hyperplasia should be treated as a potentially malignant lesion.

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Embolization of portal-systemic shunts in cirrhotic patients with chronic recurrent hepatic encephalopathy

Sakurabayashi

Sezai

Yamamoto

et al. 1997

Cardiovasc Intervent Radiol

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Hepatic encephalopathy due to a porto-systemic shunt with reverse circulation in the portal tract. A case report.

Cited by 3 publications

References 0 publications

Embolization of the left portal vein to inferior vena cava shunts for chronic recurrent hepatic encephalopathy via the mesenteric vein

Embolization of the left portal vein to inferior vena cava shunts for chronic recurrent hepatic encephalopathy via the mesenteric vein

New trends in hepatocellular carcinoma

Embolization of portal-systemic shunts in cirrhotic patients with chronic recurrent hepatic encephalopathy

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