経皮的塞栓術が有用であった十二指腸癌合併，巨大門脈肝静脈短絡症の１例

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  • A CASE OF ENORMOUS INTRAHEPATIC PORTSYSTEMIC VENOUS SHUNT WITH DUODENAL CARCINOMA IN WHICH TRANSCATHETER EMBOLIZATION WAS EFFECTIVE

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A 67-year-old man was referred to the hospital with a diagnosis of carcinoma of the duodenal papilla. He had been medicated for hyperammonemia resulting from enormous intrahepatic portsystemic shunt. Considered a possible risk of deterioration of hyperammonemia, we tried transcatheter embolization using an interlocking detachable coil. Serum ammonia decreased within a normal limit on the next day, and we performed a pancreatoduodenectoy. The patient's postoperative course was uneventful.<br> In the case of portsystemic shunt in which invasive surgery is scheduled like in this case, preoperative embolization is recommended.

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