PMID: 8963400Dec 1, 1995Paper

Porto-hepatic venous shunt via portal vein aneurysm with splenomegaly

Journal of Gastroenterology
F HanatateT Kitamura

Abstract

A 59-year-old woman presented with consciousness disturbance with flapping tremor. Laboratory examinations revealed normal liver functions, and imaging studies, ultrasonography, magnetic resonance imaging, and angiography, showed portal vein aneurysm communicating from the portal vein to the hepatic vein, splenomegaly, and splenic artery aneurysm. These examinations confirmed porto-systemic shunt leading to hepatic encephalopathy. Porto-hepatic venous shunt via portal vein aneurysm is extremely rare, and there are few reports that it causes encephalopathy; therefore, little is known about the entity and this association. The literature in English is reviewed and the etiology, clinical features, and prognosis discussed.

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Citations

Jun 24, 2003·AJR. American Journal of Roentgenology·Shuichi TanoueHiromu Mori
Sep 10, 2014·The British Journal of Surgery·T J MatthewsG J Maddern

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