Intrahepatic aneurysmal portohepatic venous shunt: embolization with a tissue adhesive solution.
OBJECTIVE
To report the endovascular treatment of an intrahepatic portosystemic venous shunt (IPSVS) using a tissue adhesive solution.


METHODS
A 40-year-old woman without diagnosed liver disease presented for evaluation of vague abdominal pains. A latent portosystemic encephalopathy was diagnosed only during hospitalization, when ultrasound examination disclosed a venous-venous right hepatic communication. The patient was treated with selective percutaneous embolization using a tissue adhesive after blocking the lesion's venous inflow and outflow tracts. The result was excellent, and the patient recovered completely in a few days. After 5 months, the patient is asymptomatic and event-free.


CONCLUSIONS
Large IPSVS may be successfully treated percutaneously using a tissue adhesive solution, avoiding a more invasive procedure.
Fanelli
Fabrizio
F
Department of Radiological Sciences, University of Rome La Sapienza, Italy.
Marcelli
Giulia
G
Bezzi
Mario
M
Maria Salvatori
Filippo
F
Rossi
Michele
M
Rossi
Plinio
P
Passariello
Roberto
R
D000328:Adult; D000783:Aneurysm / Q000175:diagnosis / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006503:Hepatic Veins; D006801:Humans; D008099:Liver / Q000098:blood supply*; D011169:Portal Vein; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016157:Vascular Fistula / Q000175:diagnosis / Q000628:therapy*
D014014:Tissue Adhesives