Year 2021 / Volume 113 / Number 6
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Percutaneous treatment of a splenorenal shunt with an atrial septal closure device

465-466

DOI: 10.17235/reed.2020.7701/2020

Luis Fernández González, Roberto Blanco Mata, Ignacio Terreros Bejo, Alexander Jon Aguinaga Alesanco,

Abstract
We present the case of a 70-year-old female who underwent liver transplantation in 2011 due to enolic cirrhosis with a normofunction graft and no portal hypertension. During the last months, recurrent hospitalization was needed due to hepatic encephalopathy, in spite of treatment with lactulose and rifaximin. An abdominal computed tomography (CT) showed a large varicose dilatation of the splenic vein up to 14-16 mm, descending by the left abdominal side, communicating with the renal vein with direct drainage into inferior cava vein (ICV).
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References
1. Braun M, Bar-Nathan N, Shaharabani E et al. Postshunt hepatic encephalopathy in liver transplant recipients. Transplantation 2009;87(5): 734-9 DOI: 10.1097/TP.0b013e318196340d
2. Crespo L, Graus J, García-Hoz F, et al. Hepatic encephalopathy secondary to porto-systemic shunt satisfactorily treated with interventionist radiology. Rev Esp Enferm Dig 2007;99(11):667-70. DOI: 10.4321/S1130-01082007001100010
3. Tomás Pujante P, Jiménez Sánchez AF, Iglesias Jorquera E, et al. Encefalopatía hepática secundaria a shunt esplenorrenal que se manifiesta tras largo tiempo del transplante hepático. Rev Esp Enferm Dig 2018;110(6):400-401. DOI: 10.17235/reed.2018.5370/2017
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Fernández González L, Blanco Mata R, Terreros Bejo I, Aguinaga Alesanco A. Percutaneous treatment of a splenorenal shunt with an atrial septal closure device. 7701/2020


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Publication history

Received: 03/12/2020

Accepted: 14/12/2020

Online First: 04/01/2021

Published: 04/06/2021

Article revision time: 4 days

Article Online First time: 32 days

Article editing time: 183 days


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