Takashi M, Igarashi M, Hino S, Goto N, Okuda K
Dig Dis Sci. 1984 Jul;29(7):669-73. doi: 10.1007/BF01347302.
This is the report of a 50-year-old man with a more than 20-year history of chronic progressive portal-systemic encephalopathy. Liver tests were normal except for increased serum ammonia and indocyanine green plasma retention. The liver pathology was compatible with idiopathic portal hypertension or noncirrhotic portal fibrosis, demonstrating localized surface nodularity and portal fibrosis. Percutaneous transhepatic catheterization of the portal vein revealed near top normal portal vein pressure and a large shunt connecting the left gastric or superior mesenteric vein and the left renal vein. Presumably, the patient had portal hypertension in the past and formation of a short, large-caliber shunt between the portal system and the renal vein effectively decompressed the portal circulation.
这是一名50岁男性的报告，其患有慢性进行性门体性脑病超过20年。除血清氨升高和吲哚菁绿血浆潴留增加外，肝功能检查正常。肝脏病理与特发性门静脉高压或非肝硬化性门静脉纤维化相符，表现为局部表面结节和门静脉纤维化。经皮经肝门静脉插管显示门静脉压力接近正常上限，且存在一条连接胃左静脉或肠系膜上静脉与左肾静脉的大分流。据推测，该患者过去曾有门静脉高压，门静脉系统与肾静脉之间形成的短而大口径的分流有效地减轻了门静脉循环压力。
