scholarly journals Transhepatic Embolization of Congenital Intrahepatic Portosystemic Venous Shunts with Associated Aneurysms

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Kalyan Paudel ◽  
Eric K. Hoffer
Keyword(s):  
Hepatic Encephalopathy ◽  
Duplex Ultrasound ◽  
Amplatzer Vascular Plug ◽  
Middle Aged ◽  
Vascular Plug ◽  
Aged Woman ◽  
Contrast Enhanced ◽  
Middle Aged Woman ◽  
Intrahepatic Shunts ◽  
Contrast Enhanced Mri

Intrahepatic shunts between the portal and systemic venous systems with associated aneurysms are extremely rare. A middle aged woman presented with hepatic encephalopathy and was found to have two intrahepatic portosystemic venous shunts with associated aneurysms. Diagnosis was made by duplex ultrasound and was confirmed with contrast enhanced MRI. Treatment was performed percutaneously with an Amplatzer vascular plug.

Non-cirrhotic hyperammonaemia: are we missing the diagnosis?

2020 ◽  
Vol 13 (3) ◽  
pp. e233218
Author(s):  
Yi Lin Lee ◽  
Siying Pang ◽  
Caroline Ong
Keyword(s):  
Liver Disease ◽  
Hepatic Encephalopathy ◽  
Chronic Liver Disease ◽  
Cerebral Oedema ◽  
Total Pancreatectomy ◽  
Diagnostic Workup ◽  
Acute Encephalopathy ◽  
Middle Aged ◽  
Aged Woman ◽  
Middle Aged Woman

Hepatic encephalopathy secondary to hyperammonaemia is a known complication of chronic liver disease. In contrast, non-cirrhotic hyperammonaemia is a lesser-known entity that should be considered in a patient with acute encephalopathy as part of the diagnostic workup as prompt identification can help to avoid complications such as seizures and cerebral oedema. We present a case of a middle-aged woman who presented electively for a total pancreatectomy–duodenectomy with splenectomy, hepatico-jejunostomy, gastro-jejunostomy and developed encephalopathy on postoperative day 10 due to non-cirrhotic hyperammonaemia.

A middle aged woman with isolated ACTH deficiency associated with transient GH deficiency

2014 ◽  
Author(s):  
Michelle Mangual ◽  
Jose Hernan-Martinez ◽  
Monica Santiago ◽  
Carlos Figueroa ◽  
Rafael Trinidad ◽  
...  
Keyword(s):  
Gh Deficiency ◽  
Middle Aged ◽  
Isolated Acth Deficiency ◽  
Acth Deficiency ◽  
Aged Woman ◽  
Middle Aged Woman

Multiple pilomatricomas in a middle-aged woman

2021 ◽  
Author(s):  
Tadashi Sawaki ◽  
Yoshihiro Sawaki ◽  
Takuro Kawaguchi ◽  
Ryuji Kaneko ◽  
Masaki Saito
Keyword(s):  
Middle Aged ◽  
Aged Woman ◽  
Middle Aged Woman

scholarly journals Unusual Case of Abdominal Fullness in a Middle-Aged Woman

2019 ◽  
Vol 157 (3) ◽  
pp. e8-e9
Author(s):  
Yasuhiko Hamada ◽  
Kyosuke Tanaka ◽  
Misaki Nakamura
Keyword(s):  
Unusual Case ◽  
Middle Aged ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Abdominal Fullness
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