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Intrahepatic aneurysmal portohepatic venous shunt: embolization with a tissue adhesive solution
Fabrizio Fanelli1, Giulia Marcelli, Mario Bezzi
1Department of Radiological Sciences, University of Rome La Sapienza, Italy.
Purpose:
To report the endovascular treatment of an intrahepatic portosystemic venous shunt (IPSVS) using a tissue adhesive solution.
Case Report:
A 40-year-old woman without diagnosed liver disease presented for evaluation of vague abdominal pains. A latent portosystemic encephalopathy was diagnosed only during hospitalization, when ultrasound examination disclosed a venous-venous right hepatic communication. The patient was treated with selective percutaneous embolization using a tissue adhesive after blocking the lesion's venous inflow and outflow tracts. The result was excellent, and the patient recovered completely in a few days. After 5 months, the patient is asymptomatic and event-free.
Conclusions:
Large IPSVS may be successfully treated percutaneously using a tissue adhesive solution, avoiding a more invasive procedure.