Non-cirrhotic portal-systemic encephalopathy caused by enlargement of a splenorenal shunt after pancreaticoduodenectomy for locally advanced duodenal cancer: Report of a case

Yuta Kasagi, Hiroshi Saeki, Tomohiko Akahoshi, Junji Kawasaki, Koji Ando, Eiji Oki, Takefumi Ohga, Morimasa Tomikawa, Yoshihiro Kakeji, Ken Shirabe, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

We report a case of portal-systemic encephalopathy occurring secondary to a splenorenal shunt, 2 years after a pancreaticoduodenectomy for locally advanced duodenal carcinoma. A 55-year-old woman was brought to our hospital with a decreased level of consciousness. Laboratory testing revealed an elevated serum ammonia level (221 μg/dl) and normal liver function. Retrospective review of a series of contrast-enhanced computed tomography scans of the abdomen identified a splenorenal shunt, which had gradually enlarged over the past 2 years (Fig. 1). The decreased level of consciousness was thought to be due to portal-systemic encephalopathy secondary to the splenorenal shunt. We performed balloon-occluded retrograde transvenous obliteration to occlude the splenorenal shunt, following which her serum ammonia level returned to normal (28 μg/dl) and an alert level of consciousness was maintained.

元の言語英語
ページ(範囲)1573-1576
ページ数4
ジャーナルSurgery today
44
発行部数8
DOI
出版物ステータス出版済み - 8 2014

Fingerprint

Duodenal Neoplasms
Surgical Splenorenal Shunt
Pancreaticoduodenectomy
Hepatic Encephalopathy
Consciousness
Ammonia
Serum
Abdomen
Tomography
Carcinoma
Liver

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Non-cirrhotic portal-systemic encephalopathy caused by enlargement of a splenorenal shunt after pancreaticoduodenectomy for locally advanced duodenal cancer : Report of a case. / Kasagi, Yuta; Saeki, Hiroshi; Akahoshi, Tomohiko; Kawasaki, Junji; Ando, Koji; Oki, Eiji; Ohga, Takefumi; Tomikawa, Morimasa; Kakeji, Yoshihiro; Shirabe, Ken; Maehara, Yoshihiko.

:: Surgery today, 巻 44, 番号 8, 08.2014, p. 1573-1576.

研究成果: ジャーナルへの寄稿記事

Kasagi, Yuta ; Saeki, Hiroshi ; Akahoshi, Tomohiko ; Kawasaki, Junji ; Ando, Koji ; Oki, Eiji ; Ohga, Takefumi ; Tomikawa, Morimasa ; Kakeji, Yoshihiro ; Shirabe, Ken ; Maehara, Yoshihiko. / Non-cirrhotic portal-systemic encephalopathy caused by enlargement of a splenorenal shunt after pancreaticoduodenectomy for locally advanced duodenal cancer : Report of a case. :: Surgery today. 2014 ; 巻 44, 番号 8. pp. 1573-1576.
@article{c58c57fd461c4266b52dbd420b7e7d3c,
title = "Non-cirrhotic portal-systemic encephalopathy caused by enlargement of a splenorenal shunt after pancreaticoduodenectomy for locally advanced duodenal cancer: Report of a case",
abstract = "We report a case of portal-systemic encephalopathy occurring secondary to a splenorenal shunt, 2 years after a pancreaticoduodenectomy for locally advanced duodenal carcinoma. A 55-year-old woman was brought to our hospital with a decreased level of consciousness. Laboratory testing revealed an elevated serum ammonia level (221 μg/dl) and normal liver function. Retrospective review of a series of contrast-enhanced computed tomography scans of the abdomen identified a splenorenal shunt, which had gradually enlarged over the past 2 years (Fig. 1). The decreased level of consciousness was thought to be due to portal-systemic encephalopathy secondary to the splenorenal shunt. We performed balloon-occluded retrograde transvenous obliteration to occlude the splenorenal shunt, following which her serum ammonia level returned to normal (28 μg/dl) and an alert level of consciousness was maintained.",
author = "Yuta Kasagi and Hiroshi Saeki and Tomohiko Akahoshi and Junji Kawasaki and Koji Ando and Eiji Oki and Takefumi Ohga and Morimasa Tomikawa and Yoshihiro Kakeji and Ken Shirabe and Yoshihiko Maehara",
year = "2014",
month = "8",
doi = "10.1007/s00595-013-0679-1",
language = "English",
volume = "44",
pages = "1573--1576",
journal = "Surgery Today",
issn = "0941-1291",
publisher = "Springer Japan",
number = "8",

}

TY - JOUR

T1 - Non-cirrhotic portal-systemic encephalopathy caused by enlargement of a splenorenal shunt after pancreaticoduodenectomy for locally advanced duodenal cancer

T2 - Report of a case

AU - Kasagi, Yuta

AU - Saeki, Hiroshi

AU - Akahoshi, Tomohiko

AU - Kawasaki, Junji

AU - Ando, Koji

AU - Oki, Eiji

AU - Ohga, Takefumi

AU - Tomikawa, Morimasa

AU - Kakeji, Yoshihiro

AU - Shirabe, Ken

AU - Maehara, Yoshihiko

PY - 2014/8

Y1 - 2014/8

N2 - We report a case of portal-systemic encephalopathy occurring secondary to a splenorenal shunt, 2 years after a pancreaticoduodenectomy for locally advanced duodenal carcinoma. A 55-year-old woman was brought to our hospital with a decreased level of consciousness. Laboratory testing revealed an elevated serum ammonia level (221 μg/dl) and normal liver function. Retrospective review of a series of contrast-enhanced computed tomography scans of the abdomen identified a splenorenal shunt, which had gradually enlarged over the past 2 years (Fig. 1). The decreased level of consciousness was thought to be due to portal-systemic encephalopathy secondary to the splenorenal shunt. We performed balloon-occluded retrograde transvenous obliteration to occlude the splenorenal shunt, following which her serum ammonia level returned to normal (28 μg/dl) and an alert level of consciousness was maintained.

AB - We report a case of portal-systemic encephalopathy occurring secondary to a splenorenal shunt, 2 years after a pancreaticoduodenectomy for locally advanced duodenal carcinoma. A 55-year-old woman was brought to our hospital with a decreased level of consciousness. Laboratory testing revealed an elevated serum ammonia level (221 μg/dl) and normal liver function. Retrospective review of a series of contrast-enhanced computed tomography scans of the abdomen identified a splenorenal shunt, which had gradually enlarged over the past 2 years (Fig. 1). The decreased level of consciousness was thought to be due to portal-systemic encephalopathy secondary to the splenorenal shunt. We performed balloon-occluded retrograde transvenous obliteration to occlude the splenorenal shunt, following which her serum ammonia level returned to normal (28 μg/dl) and an alert level of consciousness was maintained.

UR - http://www.scopus.com/inward/record.url?scp=84904392446&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904392446&partnerID=8YFLogxK

U2 - 10.1007/s00595-013-0679-1

DO - 10.1007/s00595-013-0679-1

M3 - Article

C2 - 23982193

AN - SCOPUS:84904392446

VL - 44

SP - 1573

EP - 1576

JO - Surgery Today

JF - Surgery Today

SN - 0941-1291

IS - 8

ER -