Year 2020 / Volume 112 / Number 6
Letter
Hepatic encephalopathy due to a congenital portosystemic shunt: a disease with a changeable presentation

508-509

DOI: 10.17235/reed.2020.6665/2019

Carlos Alventosa Mateu, Juan José Urquijo Ponce, Moisés Diago Madrid,

Abstract
The presence of congenital portosystemic shunts in adult patients is an uncommon entity that can manifests itself with hepatic encephalopathy symptoms. However, its clinical presentation can be very diverse and varied, hence it is essential to bear it in mind to be able to diagnose it. In this manuscript we exemplify this variability by presenting a patient with complex long-standing neurological syndrome of uncertain origin, that was finally diagnosed of portosystemic shunt. To perform a percutaneous shunt closure is recommended to achieve resolution of the clinical manifestations, as happened in our patient.
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References
1. Gómez Contreras R, Talens Ferrando A, Bernal Sprekelsen JC, et al. Valoración del tratamiento del shunt portosistémico congénito en el adulto en función de la sintomatología asociada. Rev Esp Enferm Dig 2019; 111(9): 714-6.
2. Azad S, Arya A, Sitataman R, et al. Abnerthy malformation: our experience from a tertiary cardiac care center anda review of the literatura. Ann Pediatr Cardiol 2019; 12(•): 240-7.
3. Crespo L, Graus J, García-Hoz F, et al. Encefalopatía hepática secundaria a la existencia de un shunt portosistémico tratada satisfactoriamente mediante radiología intervencionista. Rev Esp Enferm Dig 2007; 99:667-70.
4. Tanoue S, Kiyosue H, Komatsu E, et al. Symptomatic intrahepatic portosystemic venous shunt: angiographic findings and transcatheter embolization with an alternative approach. Am J Roentgenol 2003; 181:71-8.
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Alventosa Mateu C, Urquijo Ponce J, Diago Madrid M. Hepatic encephalopathy due to a congenital portosystemic shunt: a disease with a changeable presentation . 6665/2019


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Publication history

Received: 05/10/2019

Accepted: 13/10/2019

Online First: 04/06/2020

Published: 08/06/2020

Article Online First time: 243 days

Article editing time: 247 days


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