Born Again: Recurrent Hepatic Encephalopathy in an Adult without Cirrhosis

Congenital extrahepatic portosystemic shunt (CEPS) develops between the por-to-mesenteric and systemic veins. The splanchnic venous system drains directly to systemic circulation in this condition. We present a case of an adult onset Type II CEPS presenting with hepatic encephalopathy. The patient u...

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Bibliographic Details
Main Authors: Tom George (Author), Sasidharan Rajesh (Author), Cyriac Abby Philips (Author)
Format: Book
Published: Thieme Medical and Scientific Publishers Pvt. Ltd., 2019-06-01T00:00:00Z.
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Summary:Congenital extrahepatic portosystemic shunt (CEPS) develops between the por-to-mesenteric and systemic veins. The splanchnic venous system drains directly to systemic circulation in this condition. We present a case of an adult onset Type II CEPS presenting with hepatic encephalopathy. The patient underwent PARTO (plug-assisted retrograde transvenous obliteration) and had a significant clinical improvement on subsequent follow-up. Our case highlights the importance of imaging and the role of an interventional radiologist in the management of the condition.
Item Description:2581-9178
10.1055/s-0039-1686966