A Case Report of Ascending Colon Cancer that Coexisted with Noncirrhotic Portal-systemic Encephalopathy

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  • 非肝硬変性門脈大循環シャントによる肝性脳症を併発した上行結腸癌の1例
  • ヒカンコウヘンセイ モンミャク ダイ ジュンカン シャント ニ ヨル カンセイ ノウショウ オ ヘイハツ シタ ジョウギョウ ケッチョウ ガン ノ 1レイ

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Abstract

<p>The patient was an 80-year-old woman who underwent a medical examination because of exertional dyspnea and disturbance of consciousness. She was diagnosed with ascending colon cancer with co-existing portal-systemic encephalopathy due to a shunt between the superior mesenteric vein and the right ovarian vein. Balloon-occluded retrograde transvenous obliteration of the shunt was performed before surgery for the ascending colon cancer to reduce the perioperative risk of complications. The patient's postoperative course was uneventful.</p><p>In portal-systemic encephalopathy that coexists with resectable cancer, the treatment should be carefully planned considering the severity of encephalopathy, the location and shape of the shunt, and the location of the cancer.</p>

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