Embolization of congenital intrahepatic porto-systemic shunt by n-butyl cyanoacrylate
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  • 作者:Vivek Gupta (1) (2) <br> Naveen Kalra (1) <br> Sameer Vyas (1) <br> K. S. Sodhi (1) <br> B. R. Thapa (1) <br> N. Khandelwal (1) <br>
  • 关键词:Portosystemic Shunt ; Embolization ; Hyperammonemia
  • 刊名:The Indian Journal of Pediatrics
  • 出版年:2009
  • 出版时间:October 2009
  • 年:2009
  • 卷:76
  • 期:10
  • 页码:1059-1060
  • 全文大小:285KB
  • 参考文献:1. Saxena AK, Sodhi KS, Arora J, Thapa BR, Suri S. Congenital Intrahepatic portosytemic venous shunt in an infant with Down syndrome. / AJR 2004; 183: 1783-784. <br> 2. Kim IO, Cheon JE, Kim WS, Chung JW, Yeon KM, Yoo SJ / et al. Congenital intrahepatic portosytemic venous shunt: treatment with coil embolization. / Pediatr Radiol 2000; 30: 336-38. CrossRef <br> 3. Yoshimatsu R, Takeuchi Y, Morishita H, Iida N, Okabe H, Yamagami T / et al. Successful embolization of intrahepatic portosystemic venous shunt using coils and n-butyl cyanoacrylate through two approach routes. / British J Radiol 2006; 79: e162–e165. bjr/10360703">CrossRef <br> 4. Okada Y, Endo T, Kusano S, Yoshida M. Multiple intrahepatic portosytemic venous shunts: treatment with steel-coil embolization. / AJR 1991; 157: 971-73. <br>
  • 作者单位:Vivek Gupta (1) (2) <br> Naveen Kalra (1) <br> Sameer Vyas (1) <br> K. S. Sodhi (1) <br> B. R. Thapa (1) <br> N. Khandelwal (1) <br><br>1. Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India <br> 2. Department of Radiodisgnosis, PGIMER, Sector-12, Chandigarh, India <br>
文摘
Congenital intrahepatic portosystemic venous shunt (IHPSVS) is rare vascular anomaly. We present one case of a 14-month male child who presented with global developmental delay. Child had high ammonia levels with low glutamine and high bile salts on the previous investigations and had history of neonatal seizures since day 13 of life. On admission, serum ammonia levels were elevated to 112μmol/L. Other laboratory investigations including liver and renal function test, and electrolytes were normal. He was, diagnosed to have IHPSVS on the basis of Doppler and CT, and treated by embolization with n-butyl cyanoacrylate (glue). A brief review of diagnostic modalities and endovascular management for the IHPSVS is presented including the present case.

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