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Journal of the Korean Geriatrics Society 2007;11(2):101-104.
Published online June 30, 2007.
A Case of Recurrent Hepatic Encephalopathy Secondary to Spontaneous Intrahepatic Portosystemic Venous Shunt
Jong Hee Sohn, Hui Chul Choi, Sang Moo Lee
Department of Neurology, Hallym University College of Medicine, Seoul, Korea. deepfoci@hallym.ac.kr
자발성 간내 문맥정맥 단락에 의한 반복적 간성 뇌증 1례
Abstract
The portosystemic venous shunts within the hepatic parenchyma, a rare disease can lead to hepatic encephalopathy. The etiology of intrahepatic portosystemic venous shunt may be either congenital or acquired such as secondary to portal hypertension due to chronic liver damage. A 61-year-old women was admitted to our hospital with recurrent encephalopathy. Liver function tests, abdominal computerized tomography, ultrasound and arterial portography revealed an intrahepatic portosystemic venous shunt in a noncirrhotic liver. Thus, recurrent encephalopathy should be closely evaluated for detection of rare causes.
Key Words: Spontaneous intrahepatic portosystemic shunt, Hepatic encephalopathy
초 록
간실질내에 발생하는 간내 문맥정맥 단락은 흔하지 않으나 간성 뇌증을 유발할 수 있으며, 그 원인 또한 밝혀져 있지 않다. 저자들은 자발성 간내정맥 단락에 의해 반복적으로 간성 혼수가 발생한 경우를 경험하여 문헌고찰과 함께 보고하는 바이다.
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