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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
Short Communication
Indian Society of Gastrointestinal and Abdominal Radiology

Born Again: Recurrent Hepatic Encephalopathy in an Adult without Cirrhosis

Tom George
1   Department of Interventional Radiology, Cochin Gastroenterology Group, Ernakulam Medical Centre, Kochi, Kerala, India
,
Sasidharan Rajesh‡
1   Department of Interventional Radiology, Cochin Gastroenterology Group, Ernakulam Medical Centre, Kochi, Kerala, India
,
Cyriac Abby Philips‡
2   The Liver Unit, Cochin Gastroenterology Group, Ernakulam Medical Centre, Kochi, Kerala, India
› Author Affiliations
Further Information

Publication History

Received: 16 January 2019

Accepted: 17 February 2019

Publication Date:
24 June 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.

Keywords

Abernethy malformation - congenital extrahepatic portosystemic shunt - portosystemic shunt