通过三维计算机断层扫描诊断出的由自发性胃肾分流引起的门体性脑病，并经皮血管栓塞治疗有效。

Portal-systemic encephalopathy from a spontaneous gastrorenal shunt diagnosed by three-dimensional computed tomography and treated effectively by percutaneous vascular embolization.

作者信息

Kuramitsu T, Komatsu M, Matsudaira N, Naganuma T, Niizawa M, Zeniya A, Yoshida T, Toyoshima I, Chiba M, Masamune O

机构信息

Second Department of Internal Medicine, Akita City Hospital, Kawamoto, Japan.

出版信息

Liver. 1998 Jun;18(3):208-12. doi: 10.1111/j.1600-0676.1998.tb00152.x.

DOI:10.1111/j.1600-0676.1998.tb00152.x

PMID:9716233

Abstract

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.

摘要

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。