title: An inferior mesenteric-caval shunt via the internal iliac vein with portosystemic encephalopathy.
abstract: We report here a case of an unusual extrahepatic portosystemic venous shunt in a 37-year-old woman without liver cirrhosis or portal hypertension, who developed portal systemic encephalopathy. Angiography demonstrated an inferior mesenteric-caval shunt characterized by the presence of direct communication of the inferior mesenteric vein with the left internal iliac vein. After the treatment with percutaneous transcatheter embolization of the shunt via a femoral vein approach using coils, she had no episode of portal systemic encephalopathy.
authors.affiliation: Second Department of Internal Medicine, Humamatsu University School of Medicine.
authors.forename: M
authors.initials: M
authors.lastname: Otake
authors.forename: Y
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: D
authors.initials: D
authors.lastname: Hashimoto
authors.forename: T
authors.initials: T
authors.lastname: Igarashi
authors.forename: M
authors.initials: M
authors.lastname: Takahashi
authors.forename: H
authors.initials: H
authors.lastname: Kumaoka
authors.forename: M
authors.initials: M
authors.lastname: Takagi
authors.forename: K
authors.initials: K
authors.lastname: Kawamura
authors.forename: S
authors.initials: S
authors.lastname: Koide
authors.forename: Y
authors.initials: Y
authors.lastname: Sasada
authors.forename: F
authors.initials: F
authors.lastname: Kageyama
authors.forename: T
authors.initials: T
authors.lastname: Kawasaki
authors.forename: H
authors.initials: H
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006501:Hepatic Encephalopathy / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D007084:Iliac Vein / Q000002:abnormalities*; D008103:Liver Cirrhosis / Q000150:complications*; D008642:Mesenteric Veins / Q000002:abnormalities*; D016157:Vascular Fistula / Q000150:complications* / Q000628:therapy*; D014682:Vena Cava, Inferior / Q000002:abnormalities