Hepatic Encephalopathy After Liver Transplantation in a Patient with a Normally Functioning Graft: Treatment with Embolization of Portosystemic Collaterals
J. Ignacio Herrero (1,4), Jose Ignacio Bilbao (2), Maria Lourdes Diaz (2), Felix Alegre (1), Mercedes Inarrairaegui (1), Fernando Pardo (3), Jorge Quiroga (1,4)
(1) Liver Unit, Clínica Universitaria de Navarra, Pamplona, Spain
(2) Department of Radiology, Clínica Universitaria de Navarra, Pamplona, Spain
(3) Department of Surgery, Clínica Universitaria de Navarra, Pamplona, Spain
(4) Centro de Investigaciones Biomédicas en Red de Enfermedades Hepáticas y Digestivas, Spain
Portosystemic encephalopathy is one of the most important complications of liver cirrhosis.
The restoration of normal hepatic function and the reduction of portosystemic shunts by means of a liver graft are followed by the resolution of hepatic encephalopathy. We report the case of a patient with a normal functioning graft that developed recurrent encephalopathy after transplantation.
The patient was successfully treated by embolization of a large portosystemic shunt between the superior mesenteric vein and both gonadal veins, this causing an inversion of the superior mesenteric vein flow.
CITATION Liver Transpl. 2009 Jan;15(1):111-4