RESUMO

Hepatic encephalopathy is a frequent complication of cirrhosis, when this event becomes persistent, treatment compliance should be verified and any precipitating factor need to be identified. Also the presence of portosystemic shunts, which are a rare cause of decompensation or persistence hepatic encephalopathy need to be ruled out. In this paper we report the case of a 57 year old man with persistent hepatic encephalopathy secondary to the presence of a porto-onfalo-femoral shunt successfully closed with the placement of an Amplatzer device.

Assuntos

Veia Femoral/anormalidades , Encefalopatia Hepática/etiologia , Cirrose Hepática/complicações , Veia Porta/anormalidades , Veias Umbilicais/anormalidades , Humanos , Masculino , Pessoa de Meia-Idade , Dispositivo para Oclusão Septal , Tomografia Computadorizada por Raios X , Veias Umbilicais/cirurgia