Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report

Intrahepatic portosystemic venous shunt (IPSVS) is a rare vascular abnormality that involves abnormal communication between the intrahepatic portal vein and systemic veins, such as the hepatic vein or inferior vena cava. Patients with IPSVS are typically asymptomatic, and IPSVS is incidentally di...

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Main Authors: Jin Hyeok Kim, Ung Bae Jeon, Joo Yeon Jang, Tae Un Kim, Hwaseong Ryu
Format: Article
Language:English
Published: The Korean Society of Radiology 2022-11-01
Series:대한영상의학회지
Online Access:https://doi.org/10.3348/jksr.2022.0017
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author Jin Hyeok Kim
Ung Bae Jeon
Joo Yeon Jang
Tae Un Kim
Hwaseong Ryu
author_facet Jin Hyeok Kim
Ung Bae Jeon
Joo Yeon Jang
Tae Un Kim
Hwaseong Ryu
author_sort Jin Hyeok Kim
collection DOAJ
description Intrahepatic portosystemic venous shunt (IPSVS) is a rare vascular abnormality that involves abnormal communication between the intrahepatic portal vein and systemic veins, such as the hepatic vein or inferior vena cava. Patients with IPSVS are typically asymptomatic, and IPSVS is incidentally discovered via imaging while evaluating other diseases. However, endovascular closure of the shunt should be considered in symptomatic patients with a high-flow shunt. This report presents a patient with congenital IPSVS with sudden onset hepatic encephalopathy treated using percutaneous transhepatic embolization.
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spelling doaj.art-78c45aa74dff42f3bca98950ca1973462022-12-22T02:45:33ZengThe Korean Society of Radiology대한영상의학회지2288-29282022-11-0183614261431Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case ReportJin Hyeok KimUng Bae JeonJoo Yeon JangTae Un KimHwaseong RyuIntrahepatic portosystemic venous shunt (IPSVS) is a rare vascular abnormality that involves abnormal communication between the intrahepatic portal vein and systemic veins, such as the hepatic vein or inferior vena cava. Patients with IPSVS are typically asymptomatic, and IPSVS is incidentally discovered via imaging while evaluating other diseases. However, endovascular closure of the shunt should be considered in symptomatic patients with a high-flow shunt. This report presents a patient with congenital IPSVS with sudden onset hepatic encephalopathy treated using percutaneous transhepatic embolization.https://doi.org/10.3348/jksr.2022.0017
spellingShingle Jin Hyeok Kim
Ung Bae Jeon
Joo Yeon Jang
Tae Un Kim
Hwaseong Ryu
Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report
대한영상의학회지
title Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report
title_full Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report
title_fullStr Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report
title_full_unstemmed Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report
title_short Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report
title_sort treating sudden onset hepatic encephalopathy with coil embolization in a patient with a congenital intrahepatic portosystemic venous shunt a case report
url https://doi.org/10.3348/jksr.2022.0017
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