Noncirrhotic Extrahepatic Portosystemic Shunt Causing Adult-Onset Encephalopathy Treated with Endovascular Closure
Joint Authors
Elnekave, Eldad
Belenky, Eugenia
Van der Veer, Lindsley
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-25
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 54-year-old woman presented with a six-month history of episodic confusion and progressive ataxia.
A comprehensive metabolic panel was notable for elevated values of alkaline phosphatase (161 U/L), total bilirubin (1.5 mg/dL), and serum ammonia of 300 umol/L (normal range 9–47).
Hepatitis panel, relevant serological tests, tumor markers (CA-19-9, CEA), and urea cycle enzyme studies were unrevealing.
Lactulose and rifaximin therapy failed to normalize serum ammonia levels.
Imaging revealed a structural vascular abnormality communicating between an enlarged inferior mesenteric vein and the left renal vein, measuring 16 mm in greatest diameter.
The diagnosis of congenital extrahepatic portosystemic shunt was made and endovascular shunt closure was performed using a 22 mm Amplatzer II vascular plug.
Within a day, serum ammonia levels normalized.
Lactulose and rifaximin were discontinued, and confusion and ataxia resolved.
American Psychological Association (APA)
Elnekave, Eldad& Belenky, Eugenia& Van der Veer, Lindsley. 2015. Noncirrhotic Extrahepatic Portosystemic Shunt Causing Adult-Onset Encephalopathy Treated with Endovascular Closure. Case Reports in Radiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059948
Modern Language Association (MLA)
Elnekave, Eldad…[et al.]. Noncirrhotic Extrahepatic Portosystemic Shunt Causing Adult-Onset Encephalopathy Treated with Endovascular Closure. Case Reports in Radiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059948
American Medical Association (AMA)
Elnekave, Eldad& Belenky, Eugenia& Van der Veer, Lindsley. Noncirrhotic Extrahepatic Portosystemic Shunt Causing Adult-Onset Encephalopathy Treated with Endovascular Closure. Case Reports in Radiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059948
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059948