ID | 116336 |
Author |
Saijo, Yoshihito
Tokushima University
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Tomonari, Tetsu
Tokushima University
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Tanaka, Takahiro
Tokushima University
Yagi, Shusuke
Tokushima University
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Okamoto, Koichi
Tokushima University
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Miyamoto, Hiroshi
Tokushima University
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Sogabe, Masahiro
Tokushima University
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Muguruma, Naoki
Tokushima University
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Tsuneyama, Koichi
Tokushima University
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Sata, Masataka
Tokushima University
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Keywords | B-RTO
congenital extrahepatic portosystemic shunt
FNH-like nodule
portopulmonary hypertension
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Content Type |
Journal Article
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Description | A 42-year-old woman visited our hospital due to syncope. Contrast-enhanced CT revealed portosystemic shunt, portal vein hypoplasia, and multiple liver nodules. The histological examination of a liver biopsy specimen exhibited portal vein hypoplasia and revealed that the liver tumor was positive for glutamine synthetase. The patient was therefore diagnosed with congenital extrahepatic portosystemic shunt type II, and with focal nodular hyperplasia (FNH)-like nodules. She had the complication of severe portopulmonary hypertension and underwent complete shunt closure by balloon-occluded retrograde transvenous obliteration (B-RTO). The intrahepatic portal vein was well developed at 1 year after B-RTO, and multiple liver nodules completely regressed. Her pulmonary hypertension also improved.
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Journal Title |
Internal Medicine
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ISSN | 13497235
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Publisher | The Japanese Society of Internal Medicine
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Volume | 60
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Issue | 12
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Start Page | 1839
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End Page | 1845
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Published Date | 2021-06-15
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Rights | The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
eng
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TextVersion |
Publisher
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departments |
Medical Sciences
University Hospital
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