Hepatic encephalopathy due to congenital splenorenal shunts: report of a case.
A 76-year-old Japanese woman with hepatic encephalopathy was successfully treated for congenital splenorenal shunts by surgical intervention. The flow volume of the splenorenal shunts was 800 ml/min with a shunt pressure of 9.8 mmHg. The portal pressures before and after the shunt resection were 9 mmHg and 12 mmHg, respectively. The portal flows before and after the shunt resection were 230 ml/min and 470 ml/min, respectively. Therefore, both the hepatic sinusoid and the portal vein might provide good compliance for an increased portal flow volume load after shunt resection.
Ohwada
S
S
Second Department of Surgery, Gunma University School of Medicine, Japan.
Hamada
Y
Y
Morishita
Y
Y
Tanahashi
Y
Y
Takeyoshi
I
I
Kawashima
Y
Y
Nakamura
S
S
Iino
Y
Y
Miyamoto
Y
Y
Hirato
J
J
D000368:Aged; D005260:Female; D006501:Hepatic Encephalopathy / Q000209:etiology*; D006801:Humans; D011169:Portal Vein / Q000002:abnormalities; D012082:Renal Veins / Q000002:abnormalities* / Q000601:surgery; D013162:Splenic Vein / Q000002:abnormalities* / Q000601:surgery