title: Embolization of portosystemic shunt for treatment of recurrent hepatic encephalopathy.
abstract: Hepatic encephalopathy in the setting of advanced chronic liver disease, occurs following a precipitating factor and generally responds to correction of the precipitating factor and anticoma measures. We report the case of a lady with Child A cirrhosis who presented with frequent episodes of hepatic encephalopathy without any precipitating factors. She was found to be having a large portosystemic shunt. The shunt was obliterated by coil embolotherapy following which there was no further episodes of encephalopathy.
authors.affiliation: Department of Gastroenterology & Hepatology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Gopalakrishna
authors.affiliation: Department of Gastroenterology & Hepatology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041, India.
authors.forename: Preetham S
authors.initials: PS
authors.lastname: Hurkadli
authors.affiliation: Department of Gastroenterology & Hepatology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041, India.
authors.forename: Nazar K
authors.initials: NK
authors.lastname: Puthukudy
authors.affiliation: Department of Gastroenterology & Hepatology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041, India.
authors.forename: Harikumar R
authors.initials: HR
authors.lastname: Nair
keywords: MELD, model for end stage liver disease; coil embolization; hepatic encephalopathy; portosystemic shunt