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Embolization of portosystemic shunt for treatment of recurrent hepatic encephalopathy
Rajesh Gopalakrishna1, Preetham S Hurkadli1, Nazar K Puthukudy1
1Department of Gastroenterology & Hepatology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041, India.
Abstract:
Hepatic encephalopathy in the setting of advanced chronic liver disease, occurs following a precipitating factor and generally responds to correction of the precipitating factor and anticoma measures. We report the case of a lady with Child A cirrhosis who presented with frequent episodes of hepatic encephalopathy without any precipitating factors. She was found to be having a large portosystemic shunt. The shunt was obliterated by coil embolotherapy following which there was no further episodes of encephalopathy.
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