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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Main Authors: | , , |
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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. |
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Item Description: | 2581-9178 10.1055/s-0039-1686966 |