Sazumi Yosuke, Nishimura Yoshito, Otsuka Yuki, Mizuta Yuki, Nakano Yasuhiro, Sakae Hiroyuki, Otsuka Fumio
Department of General Medicine Dentistry and Pharmaceutical Sciences Okayama University Graduate School of Medicine Okayama Japan.
Clin Case Rep. 2020 Jun 1;8(9):1852-1853. doi: 10.1002/ccr3.2986. eCollection 2020 Sep.
Clinicians should recognize extrahepatic portosystemic shunt as a cause of refractory or intermittent hepatic encephalopathy. Treatment strategies should be individualized according to patients' anatomic and hemodynamic status.