ISSN:
1435-5922
Keywords:
hepatic encephalopathy
;
splenic artery aneurysm
;
splenomegaly
;
portal vein aneurysm
;
portohepatic venous shunt
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02349649
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