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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2020; 4(01): 38-39
DOI: 10.4103/AJIR.AJIR_19_19
Case Report

Portosystemic Encephalopathy in a Noncirrhotic Patient Treated by Vascular Plug Embolization of Mesoiliac Shunt

Othman Alshehre
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
,
Faisal Alahmari
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
,
Sultan Alammari
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
,
Abdulaziz Almathami
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
,
Hatim Alobaidi
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
,
Ibrahim Alrashidi
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
,
Marwan Alosaimi
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
,
Fares Garad
Department of Radiodiagnostics and Medical Imaging, Prince Sultan Military Medical City, Riyadh
› Author Affiliations Financial support and sponsorship Nil.
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Mesoiliac shunts in the absence of liver cirrhosis are rarely reported as a cause of hyperammonemia with encephalopathy. Here, we report the case of a 65-year-old female patient with no history of liver disease, who developed significant confusion. Workup showed hyperammonemia and encephalopathy due to spontaneous mesoiliac shunt with no imaging signs of portal hypertension. Liver biopsy showed no evidence of cirrhosis. The shunt was occluded using a vascular plug, resulting in complete resolution of symptoms with no recurrence at 8-year follow-up.

Keywords:

Embolization - hepatic encephalopathy - mesoiliac shunt - portal hypertension - portosystemic shunts - shunt occlusion


Publication History

Received: 09 August 2019
Received: 20 September 2019

Accepted: 28 October 2019

Article published online:
16 March 2021

© 2019. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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