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Portal-systemic encephalopathy from a spontaneous gastrorenal shunt diagnosed by three-dimensional computed
T Kuramitsu1, M Komatsu, N Matsudaira
1Second Department of Internal Medicine, Akita City Hospital, Kawamoto, Japan.
Liver
|August 26, 1998
Abstract:
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.