A case of portal-systemic shunt-through inferior mesenteric vein and right internal iliac vein-encephalopathy cured by balloon-occluded retrograde transvenous obliteration

DOI 15 References
  • SHIMIZU Kaori
    Department of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • NAKASHIMA Munetoshi
    Department of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • FUJIMOTO Masumi
    Department of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • TSURUTA Shotaro
    Department of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • MORITA Shigeki
    Department of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • FURUKAWA Ryuji
    Department of Internal Medicine, Japanese Red Cross Nagasaki Genbaku Hospital
  • MORI Masakazu
    Department of Radiology, Japanese Red Cross Nagasaki Genbaku Hospital

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  • バルーン下逆行性経静脈的塞栓術（B-RTO）により軽快した下腸間膜静脈∼右内腸骨静脈短絡路による脳症の1例

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Abstract

We encountered a case of portal-systemic shunt encephalopathy cured by balloon-occluded retrograde transvenous obliteration (B-RTO). A 73-year-old man had been observed for membranous nephropathy at our hospital since 1987. There was no past history of liver dysfunction. He was admitted with encephalopathy. Abdominal enhanced computed tomography showed a portosystemic shunt through the inferior mesenteric vein and right internal iliac vein. We diagnosed hepatic encephalopathy due to this porto-systemic shunt, and B-RTO was performed. After B-RTO, he has not had repeated encephalopathy. B-RTO can be effective for portosystemic encephalopathy. Inferior mesenteric-right internal iliac shunt encephalopathy is rare and our patient is the first case of B-RTO performed in cases with this shunt.<br>

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