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Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report
BACKGROUND: Hepatic encephalopathy (HE) is a frequent and debilitating complication of chronic liver disease. Recurrent HE is strongly linked with spontaneous portosystemic shunts (SPSSs). Intrahepatic arterioportal fistulas (IAPFs) occur rarely but pose a major clinical challenge and may lead to or...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610867/ https://www.ncbi.nlm.nih.gov/pubmed/34877293 http://dx.doi.org/10.12998/wjcc.v9.i31.9577 |
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author | Liu, Guo-Feng Wang, Xiao-Ze Luo, Xue-Feng |
author_facet | Liu, Guo-Feng Wang, Xiao-Ze Luo, Xue-Feng |
author_sort | Liu, Guo-Feng |
collection | PubMed |
description | BACKGROUND: Hepatic encephalopathy (HE) is a frequent and debilitating complication of chronic liver disease. Recurrent HE is strongly linked with spontaneous portosystemic shunts (SPSSs). Intrahepatic arterioportal fistulas (IAPFs) occur rarely but pose a major clinical challenge and may lead to or worsen portal hypertension. Herein, we present a rare case of recurrent HE secondary to a SPSS combined with an IAPF. CASE SUMMARY: A 63-year-old female with primary biliary cirrhosis presented with recurrent disturbance of consciousness for 4 mo. SPSS communicating the superior mesenteric vein with the inferior vena cava and IAPF linking the intrahepatic artery with the portal vein were found on contrast-enhanced abdominal computed tomography. The patient did not respond well to medical treatment. Therefore, simultaneous embolization of SPSS and IAPF was scheduled. After embolization, the symptoms of HE showed obvious resolution. CONCLUSION: The presence of liver vascular disorders should not be neglected in patients with chronic liver disease, and interventional therapy is a reasonable choice in such patients. |
format | Online Article Text |
id | pubmed-8610867 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-86108672021-12-06 Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report Liu, Guo-Feng Wang, Xiao-Ze Luo, Xue-Feng World J Clin Cases Case Report BACKGROUND: Hepatic encephalopathy (HE) is a frequent and debilitating complication of chronic liver disease. Recurrent HE is strongly linked with spontaneous portosystemic shunts (SPSSs). Intrahepatic arterioportal fistulas (IAPFs) occur rarely but pose a major clinical challenge and may lead to or worsen portal hypertension. Herein, we present a rare case of recurrent HE secondary to a SPSS combined with an IAPF. CASE SUMMARY: A 63-year-old female with primary biliary cirrhosis presented with recurrent disturbance of consciousness for 4 mo. SPSS communicating the superior mesenteric vein with the inferior vena cava and IAPF linking the intrahepatic artery with the portal vein were found on contrast-enhanced abdominal computed tomography. The patient did not respond well to medical treatment. Therefore, simultaneous embolization of SPSS and IAPF was scheduled. After embolization, the symptoms of HE showed obvious resolution. CONCLUSION: The presence of liver vascular disorders should not be neglected in patients with chronic liver disease, and interventional therapy is a reasonable choice in such patients. Baishideng Publishing Group Inc 2021-11-06 2021-11-06 /pmc/articles/PMC8610867/ /pubmed/34877293 http://dx.doi.org/10.12998/wjcc.v9.i31.9577 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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/ |
spellingShingle | Case Report Liu, Guo-Feng Wang, Xiao-Ze Luo, Xue-Feng Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report |
title | Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report |
title_full | Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report |
title_fullStr | Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report |
title_full_unstemmed | Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report |
title_short | Simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: A case report |
title_sort | simultaneous embolization of a spontaneous porto-systemic shunt and intrahepatic arterioportal fistula: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610867/ https://www.ncbi.nlm.nih.gov/pubmed/34877293 http://dx.doi.org/10.12998/wjcc.v9.i31.9577 |
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