Portal-systemic encephalopathy from a spontaneous gastrorenal shunt diagnosed by three-dimensional computed tomography and treated effectively by percutaneous vascular embolization

被引：0
|
作者：
Kuramitsu, T
Komatsu, M
Matsudaira, N
Naganuma, T
Niizawa, M
Zeniya, A
Yoshida, T
Toyoshima, I
Chiba, M
Masamune, O
机构：
[1] Akita City Hosp, Dept Internal Med 2, Akita 010, Japan
[2] Akita City Hosp, Dept Radiol, Akita 010, Japan
[3] Akita Univ, Sch Med, Dept Internal Med 1, Akita, Japan
来源：
LIVER | 1998年 / 18卷 / 03期
关键词：
percutaneous vascular embolization; portal-systemic encephalopathy; three-dimensional computed tomography;
D O I：
暂无
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
A 67-year-old man with a portal-systemic shunt confirmed by three-dimensional computed tomography (3D-CT) was successfully treated by percutaneous vascular embolization. The patient had aggravated loss of memory, disorientation, and hyperammonemia. A gastrorenal shunt 16 mm in diameter was found by 3D-CT reconstructed by helical computed tomography (CT). Embolization was performed only in the shunt percutaneously through the inferior vena cava. One year after the embolization, no recurrence of portal-systemic encephalopathy and no portal hypertension have appeared, and the clinical course has been good.
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收藏
页码：208 / 212
页数：5
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