Successful management of a congenital portosystemic shunt using coil-in-plug embolization: A case report

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  • Coil-in-plug embolizationが奏功した先天性門脈体循環シャントの1例
  • Coil-in-plug embolization ガ ソウコウ シタ センテンセイ モンミャクタイ ジュンカン シャント ノ 1レイ

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Abstract

<p>A 20-year-old man was referred to pediatrics for hyperbilirubinemia and mental retardation. Abdominal ultrasonography findings were indicative of a portosystemic shunt, and as a shunt between the left branch of the portal vein and inferior vena cava was confirmed by abdominal computed tomography, he was diagnosed with patency of the venous duct. We decided to perform shunt embolization using IVR, but as the shunt diameter had expanded like a funnel, its embolization was performed using a plug-and -metal coil, which led to an improvement in hepatic reserve and blood ammonia levels postprocedure. Surgical ligation has been typically used in the management of portosystemic shunts, but as it is highly invasive, shunt embolization by IVR has become prevalent in recent years. Here we describe stable embolization using the IVR technique.</p>

Journal

  • Kanzo

    Kanzo 63 (5), 232-237, 2022-05-01

    The Japan Society of Hepatology

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