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Porto-hepatic venous shunt via portal vein aneurysm with splenomegaly

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Abstract

A 59-year-old woman presented with consciousness disturbance with flapping tremor. Laboratory examinations revealed normal liver functions, and imaging studies, ultrasonography, magnetic resonance imaging, and angiography, showed portal vein aneurysm communicating from the portal vein to the hepatic vein, splenomegaly, and splenic artery aneurysm. These examinations confirmed porto-systemic shunt leading to hepatic encephalopathy. Porto-hepatic venous shunt via portal vein aneurysm is extremely rare, and there are few reports that it causes encephalopathy; therefore, little is known about the entity and this association. The literature in English is reviewed and the etiology, clinical features, and prognosis discussed.

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Authors and Affiliations

  1. National Shizuoka Hospital, 24-1 Jotocho, 420, Shizuoka, Japan

    Fumika Hanatate, Hiroaki Matsuoka, Youichi Mizuno & Tatsuya Kitamura

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  1. Fumika Hanatate
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  2. Hiroaki Matsuoka
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  3. Youichi Mizuno
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  4. Tatsuya Kitamura
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Hanatate, F., Matsuoka, H., Mizuno, Y. et al. Porto-hepatic venous shunt via portal vein aneurysm with splenomegaly. J Gastroenterol 30, 786–789 (1995). https://doi.org/10.1007/BF02349649

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  • DOI: https://doi.org/10.1007/BF02349649

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