Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one case
Portosystemic shunts are rare vascularization disorders, and an uncommon cause of confusional states. We report an 87-year-old male with a previously normal cognitive status who was repeatedly admitted for sudden symptoms of disorientation and functional limitation. The patient had high ammonium levels which lead to the suspicion of the presence a portosystemic shunt, even in the absence of pre-existing liver disease. A contrast enhanced computed tomography of the abdomen confirmed the presence an abnormal communication of the right portal vein with the suprahepatic veins. The communication was embolized and the confusional states of the patient subsided.
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Sociedad Médica de Santiago
2016
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oai:scielo:S0034-988720160009000192016-12-23Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one caseCarrascosa-García,SaraPeinado-Martínez,MartaPérez-Silvestre,JoséCabanes-Hernández,YolandaGonzález-Cruz Soler,Alfonso Delirium Hepatic Encephalopathy Hyperammonemia Portosystemic shunts are rare vascularization disorders, and an uncommon cause of confusional states. We report an 87-year-old male with a previously normal cognitive status who was repeatedly admitted for sudden symptoms of disorientation and functional limitation. The patient had high ammonium levels which lead to the suspicion of the presence a portosystemic shunt, even in the absence of pre-existing liver disease. A contrast enhanced computed tomography of the abdomen confirmed the presence an abnormal communication of the right portal vein with the suprahepatic veins. The communication was embolized and the confusional states of the patient subsided.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.9 20162016-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000900019es10.4067/S0034-98872016000900019 |
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| author |
Carrascosa-García,Sara Peinado-Martínez,Marta Pérez-Silvestre,José Cabanes-Hernández,Yolanda González-Cruz Soler,Alfonso |
| spellingShingle |
Carrascosa-García,Sara Peinado-Martínez,Marta Pérez-Silvestre,José Cabanes-Hernández,Yolanda González-Cruz Soler,Alfonso Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one case |
| author_facet |
Carrascosa-García,Sara Peinado-Martínez,Marta Pérez-Silvestre,José Cabanes-Hernández,Yolanda González-Cruz Soler,Alfonso |
| author_sort |
Carrascosa-García,Sara |
| title |
Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one case |
| title_short |
Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one case |
| title_full |
Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one case |
| title_fullStr |
Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one case |
| title_full_unstemmed |
Shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: Report of one case |
| title_sort |
shunt porto-sistémico congénito en hígado no cirrótico como causante de síndrome confusional agudo reiterado: report of one case |
| description |
Portosystemic shunts are rare vascularization disorders, and an uncommon cause of confusional states. We report an 87-year-old male with a previously normal cognitive status who was repeatedly admitted for sudden symptoms of disorientation and functional limitation. The patient had high ammonium levels which lead to the suspicion of the presence a portosystemic shunt, even in the absence of pre-existing liver disease. A contrast enhanced computed tomography of the abdomen confirmed the presence an abnormal communication of the right portal vein with the suprahepatic veins. The communication was embolized and the confusional states of the patient subsided. |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2016 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000900019 |
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