Multiple intrahepatic vascular shunts causing hyperammoniaemic encephalopathy in a patient without liver cirrhosis

The very rare case of a non-cirrhotic patient with multiple intrahepatic portosystemic and arteriosystemic vascular shunts, presenting with hyperammoniaemic type B encephalopathy and hypoalbuminaemia due to proteinuria, is reported. The correct diagnosis, suspected by abdominal ultrasound and colour...

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Bibliographic Details
Published in:Digestive and liver disease 2006-05, Vol.38 (5), p.347-351
Main Authors: Caturelli, E., Ghittoni, G., Niro, G.A., Clemente, R., Accadia, L., Nardella, M., Andriulli, A., Anti, M.
Format: Article
Language:English
Subjects:
Aged
Angiography
Doppler ultrasound
Hepatic angiography
Hepatic Artery - diagnostic imaging
Hepatic Encephalopathy - complications
Hepatic Encephalopathy - diagnostic imaging
Humans
Hyperammonemia - diagnostic imaging
Hyperammonemia - etiology
Hyperammoniaemia
Intrahepatic vascular shunts
Liver Cirrhosis
Male
Mesenteric Artery, Superior - diagnostic imaging
Portal Vein - diagnostic imaging
Ultrasonography, Doppler, Color
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Summary:The very rare case of a non-cirrhotic patient with multiple intrahepatic portosystemic and arteriosystemic vascular shunts, presenting with hyperammoniaemic type B encephalopathy and hypoalbuminaemia due to proteinuria, is reported. The correct diagnosis, suspected by abdominal ultrasound and colour-Doppler imaging, was confirmed by hepatic and superior mesenteric angiography. A comparison with the few similar cases existing in the literature is offered.
ISSN:1590-8658
1878-3562
DOI:10.1016/j.dld.2005.06.005