Open AccessHepatic encephalopathy due to a congenital portosystemic shunt: a disease with a changeable presentation
Author(s) -
Carlos Alventosa Mateu,
Juan José Urquijo Ponce,
Moisés Diago Madrid
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.6665/2019
Subject(s) - medicine , portosystemic shunt , hepatic encephalopathy , presentation (obstetrics) , shunt (medical) , encephalopathy , gastroenterology , radiology , portal hypertension , cirrhosis
The presence of congenital portosystemic shunts in adult patients is an uncommon entity that can manifests itself with hepatic encephalopathy symptoms. However, its clinical presentation can be very diverse and varied, hence it is essential to bear it in mind to be able to diagnose it. In this manuscript we exemplify this variability by presenting a patient with complex long-standing neurological syndrome of uncertain origin, that was finally diagnosed of portosystemic shunt. To perform a percutaneous shunt closure is recommended to achieve resolution of the clinical manifestations, as happened in our patient.