Successful Treatment for Hepatic Encephalopathy Aggravated by Portal Vein Thrombosis with Balloon-Occluded Retrograde Transvenous Obliteration

This report presents the case of a 78-year-old female with hepatic encephalopathy due to an inferior mesenteric venous-inferior vena cava shunt. She developed hepatocellular carcinoma affected by hepatitis C virus-related cirrhosis and underwent posterior sectionectomy. Portal vein thrombosis develo...

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Published inCase reports in gastroenterology Vol. 5; no. 2; pp. 366 - 371
Main Authors Hashimoto, Naotaka, Akahoshi, Tomohiko, Shoji, Tetsuya, Tomikawa, Morimasa, Tsutsumi, Norifumi, Yoshizumi, Tomoharu, Taketomi, Akinobu, Shirabe, Ken, Maehara, Yoshihiko
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 08.07.2011
Karger Publishers
Subjects
Balloon-occluded retrograde transvenous obliteration
Hepatic encephalopathy
Portal vein thrombosis
Published: July 2011
Hepatic encephalopathy
Portal vein thrombosis
Balloon-occluded retrograde transvenous obliteration
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Summary:This report presents the case of a 78-year-old female with hepatic encephalopathy due to an inferior mesenteric venous-inferior vena cava shunt. She developed hepatocellular carcinoma affected by hepatitis C virus-related cirrhosis and underwent posterior sectionectomy. Portal vein thrombosis developed and the portal trunk was narrowed after hepatectomy. Portal vein thrombosis resulted in high portal pressure and increased blood flow in an inferior mesenteric venous-inferior vena cava shunt, and hepatic encephalopathy with hyperammonemia was aggravated. The hepatic encephalopathy aggravated by portal vein thrombosis was successfully treated by balloon-occluded retrograde transvenous obliteration via a right transjugular venous approach without the development of other collateral vessels.
ISSN:1662-0631
1662-0631
DOI:10.1159/000330287