Category |
Gastroenterology & Hepatology |
Manuscript Type |
Case Report |
Article Title |
Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
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 and Fernando Gomes Romeiro |
Funding Agency and Grant Number |
|
Corresponding Author |
Letícia de Campos Franzoni, MD, Internal Medicine Department, Gastroenterology Division, Botucatu Medical School, UNESP, Rubiao Junior District S/N, 18 618 970 Botucatu, Sao Paulo, Brazil. leticiafranzoni@hotmail.com |
Key Words |
Recurrent hepatic encephalopathy; Liver cirrhosis; Port systemic shunt; Shunt embolization; Portal vein thrombosis |
Core Tip |
Portosystemic shunts are a cause of hepatic encephalopathy and decreased survival of cirrhotic patients. The embolization of these shunts has been performed to control hepatic encephalopathy manifestations, but the presence of portal vein thrombosis is considered a contraindication. We presented a cirrhotic patient with persistent hepatic encephalopathy and hepatic coma. She had a wide splenorenal shunt and also portal vein thrombosis. As she had other shunts, we performed the embolization of the largest shunt and she achieved a good recovery. In conclusion, for patients with many shunts and severe hepatic encephalopathy, one of these shunts can be successfully embolized. |
Publish Date |
2014-11-17 15:12 |
Citation |
Franzoni LC, Carvalho FC, Garzon RGA, Yamashiro FS, Augusti L, Santos LAA, Dorna MS, Baima JP, Lima TB, Caramori CA, Silva GF, Romeiro FG. Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy. World J Gastroenterol 2014; 20(42): 15910-15915 |
URL |
http://www.wjgnet.com/1007-9327/full/v20/i42/15910.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v20.i42.15910 |