Successful Treatment Using Coil Embolization of a Symptomatic Intrahepatic Portosystemic Venous Shunt Developing through a Patent Ductus Venosus in a Noncirrhotic Adult

Masaya Saito; Yasushi Seo; Yoshihiko Yano; Kenji Momose; Hirotaka Hirano; Masaru Yoshida; Takeshi Azuma

doi:10.2169/internalmedicine.52.9110

CASE REPORTS

Successful Treatment Using Coil Embolization of a Symptomatic Intrahepatic Portosystemic Venous Shunt Developing through a Patent Ductus Venosus in a Noncirrhotic Adult

Masaya Saito, Yasushi Seo, Yoshihiko Yano, Kenji Momose, Hirotaka Hirano, Masaru Yoshida, Takeshi Azuma

Author information

Masaya Saito
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
Yasushi Seo
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
Yoshihiko Yano
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
Center for Infectious Diseases, Kobe University Graduate School of Medicine, Japan
Kenji Momose
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
Hirotaka Hirano
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
Masaru Yoshida
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
Division of Metabolomics Research, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
Takeshi Azuma
Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan

Keywords: coil embolization, hepatic encephalopathy, intrahepatic portosystemic shunt, patent ductus venosus

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 5 Pages 555-559

DOI https://doi.org/10.2169/internalmedicine.52.9110

Details

Abstract

The patient was a 60-year-old man with encephalopathy without liver cirrhosis. CT angiography revealed a patent ductus venosus between the anterior segmental branch of the portal vein and the middle hepatic vein. Coils were framed in the patent ductus venosus and then used to fill in the frame. After treatment, transarterial portography showed that the shunt flow of the ductus venosus had decreased significantly. After one day, the patient's disturbance of consciousness disappeared. Our case involved the adult-onset of a patent ductus venosus, which is extremely rare. This case is the first in which coil embolization was successfully achieved in a noncirrhotic elderly patient with a patent ductus venosus.

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