title: Persistent hepatic encephalopathy secondary to portosystemic shunt occluded with Amplatzer device.
abstract: Hepatic encephalopathy is a frequent complication of cirrhosis, when this event becomes persistent, treatment compliance should be verified and any precipitating factor need to be identified. Also the presence of portosystemic shunts, which are a rare cause of decompensation or persistence hepatic encephalopathy need to be ruled out. In this paper we report the case of a 57 year old man with persistent hepatic encephalopathy secondary to the presence of a porto-onfalo-femoral shunt successfully closed with the placement of an Amplatzer device.
authors.affiliation: Department of Gastroenterology, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, (INCMNSZ), Mexico City, Mexico.
authors.forename: Ariadna
authors.initials: A
authors.lastname: Ramírez-Polo
authors.affiliation: Department of Gastroenterology, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, (INCMNSZ), Mexico City, Mexico.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Márquez-Guillén
authors.affiliation: Department of Interventional Radiology, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, (INCMNSZ), Mexico City, Mexico.
authors.forename: Adrián J
authors.initials: AJ
authors.lastname: González-Aguirre
authors.affiliation: Department of Interventional Radiology, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, (INCMNSZ), Mexico City, Mexico.
authors.forename: Iván E
authors.initials: IE
authors.lastname: Casanova-Sánchez
authors.affiliation: Department of Interventional Radiology, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, (INCMNSZ), Mexico City, Mexico.
authors.forename: Rafael
authors.initials: R
authors.lastname: Chávez-Ruiz
authors.affiliation: Department of Internal Medicine, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, (INCMNSZ), Mexico City, Mexico.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Carrillo-Maravilla
authors.affiliation: Portal Hypertension Clinic, Department of Gastroenterology, National Institute of Medical Sciences and Nutrition, Salvador Zubirán, (INCMNSZ), Mexico City, Mexico.
authors.forename: Eric
authors.initials: E
authors.lastname: López-Méndez
mesh_terms: D005268:Femoral Vein / Q000002:abnormalities*; D006501:Hepatic Encephalopathy / Q000209:etiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000002:abnormalities*; D055989:Septal Occluder Device; D014057:Tomography, X-Ray Computed; D014471:Umbilical Veins / Q000002:abnormalities* / Q000601:surgery