An Inferior Mesenteric-Caval Shunt via the Internal Iliac Vein with Portosystemic Encephalopathy

Mamiko OTAKE; Yoshimasa KOBAYASHI; Dai HASHIMOTO; Tatsuya IGARASHI; Motoichirou TAKAHASHI; Hiroko KUMAOKA; Masahiro TAKAGI; Kinya KAWAMURA; Shigeki KOIDE; Yuzo SASADA; Fujito KAGEYAMA; Tsunehisa KAWASAKI; Hirotoshi NAKAMURA

doi:10.2169/internalmedicine.40.887

Mamiko OTAKE, Yoshimasa KOBAYASHI, Dai HASHIMOTO, Tatsuya IGARASHI, Motoichirou TAKAHASHI, Hiroko KUMAOKA, Masahiro TAKAGI, Kinya KAWAMURA, Shigeki KOIDE, Yuzo SASADA, Fujito KAGEYAMA, Tsunehisa KAWASAKI, Hirotoshi NAKAMURA

Author information

Mamiko OTAKE
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Yoshimasa KOBAYASHI
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Dai HASHIMOTO
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Tatsuya IGARASHI
the Department of Radiology, Hamamatsu University School of Medicine
Motoichirou TAKAHASHI
the Department of Radiology, Hamamatsu University School of Medicine
Hiroko KUMAOKA
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Masahiro TAKAGI
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Kinya KAWAMURA
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Shigeki KOIDE
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Yuzo SASADA
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Fujito KAGEYAMA
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Tsunehisa KAWASAKI
the Second Department of Internal Medicine, Hamamatsu University School of Medicine
Hirotoshi NAKAMURA
the Second Department of Internal Medicine, Hamamatsu University School of Medicine

Keywords: inferior mesenteric vein, inferior vena cava, hepatic encephalopathy, hyperammonemia, interventional radiology

JOURNAL FREE ACCESS

2001 Volume 40 Issue 9 Pages 887-890

DOI https://doi.org/10.2169/internalmedicine.40.887

Details

Abstract

We report here a case of an unusual extrahepatic portosystemic venous shunt in a 37-year-old woman without liver cirrhosis or portal hypertension, who developed portal systemic encephalopathy. Angiography demonstrated an inferior mesenteric-caval shunt characterized by the presence of direct communication of the inferior mesenteric vein with the left internal iliac vein. After the treatment with percutaneous transcatheter embolization of the shunt via a femoral vein approach using coils, she had no episode of portal systemic encephalopathy.
(Internal Medicine 40: 887-890, 2001)

Corresponding author

Register with J-STAGE for free!