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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2019; 02(01): 039-040
DOI: 10.1055/s-0039-1686966
DOI: 10.1055/s-0039-1686966
Short Communication
Born Again: Recurrent Hepatic Encephalopathy in an Adult without Cirrhosis
Weitere Informationen
Publikationsverlauf
Received: 16. Januar 2019
Accepted: 17. Februar 2019
Publikationsdatum:
24. Juni 2019 (online)
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Abstract
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.