Kuramitsu T, Komatsu M, Matsudaira N, Naganuma T, Niizawa M, Zeniya A, Yoshida T, Toyoshima I, Chiba M, Masamune O
Second Department of Internal Medicine, Akita City Hospital, Kawamoto, Japan.
Liver. 1998 Jun;18(3):208-12. doi: 10.1111/j.1600-0676.1998.tb00152.x.
A 67-year-old man with a portal-systemic shunt confirmed by three-dimensional computed tomography (3D-CT) was successfully treated by percutaneous vascular embolization. The patient had aggravated loss of memory, disorientation, and hyperammonemia. A gastrorenal shunt 16 mm in diameter was found by 3D-CT reconstructed by helical computed tomography (CT). Embolization was performed only in the shunt percutaneously through the inferior vena cava. One year after the embolization, no recurrence of portal-systemic encephalopathy and no portal hypertension have appeared, and the clinical course has been good.
一名67岁男性经三维计算机断层扫描（3D-CT）确诊存在门体分流，经皮血管栓塞治疗成功。患者记忆力减退、定向障碍及高氨血症加重。通过螺旋计算机断层扫描（CT）重建的3D-CT发现直径16毫米的胃肾分流。仅经下腔静脉经皮在分流处进行栓塞。栓塞术后一年，未出现门体性脑病复发及门静脉高压，临床病程良好。
