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| 1 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 2 | Acute fatty liver of pregnancy associated with severe acute pancreatitis:A case report显示文摘Acute fatty liver of pregnancy is a rare disease that affects women in the third trimester of pregnancy. Although infrequent, the disease can cause maternal mortality. The diagnosis is not always clear until the pregnancy is terminated, and significant complications, such as acute pancreatitis, can occur. Pancreatic involvement typically only occurs in severe cases after the development of hepatic and renal impairment. To date, little knowledge is available regarding how the disease causes pancreatitis. Treatment involves supportive measures and pregnancy interruption. In this report, we describe a case of a previously healthy 26-year-old woman at a gestational age of 27 wk and 6 d who was admitted with severe abdominal pain and vomiting. This case illustrates the clinical and laboratory overlap between acute fatty liver of pregnancy and pancreatitis, highlighting the difficulties in differentiating each disease. Furthermore, the hypothesis for this overlapping is presented, and the therapeutic options are discussed. | Cássio Vieira de Oliveira Alecsro Moreira Julio P Baima Leticia de C Franzoni Talles B Lima Fabio da S Yamashiro Kunie Yabuki Rabelo Coelho Ligia Y Sassaki Carlos Antonio Caramori Ferno G Romeiro Giovanni F Silva | 2014 | World Journal of Hepatology2014，6，7： | 3 |
| 3 | Experimental investigation of welded built-up columns 显示文摘 | Estuar F R Tall L | 1963 | Welding Research Supplement1963，42，4： | 1 |
| 4 | Experimental investigation of welded built- up columns 显示文摘 | ESTUAR F R TALL L | 1963 | Welding Research Supplement1963，42，4： | 1 |
| 5 | Relation between cholesterol es- ter transfer protein activities and lipoprotein cholesterol in patients with hypereholesterolemia and combined hypedipidemia显示文摘 | Tato F Vega GL Tall AR | 1995 | Arte- rioseler Thmmb Vase Biol1995，15，1： | 1 |
| 6 | Chemical and algal relationships in a Salinity series of Ethiopian inland waters 显示文摘 | WOOD R P TALLING J F | 1988 | Hrdrobiologia1988，158，： | 1 |
| 7 | The design of ecological restoration projects in the river network area in southern Jiangsu Province: Chen Xiangbang ecological restoration demonstration project 显示文摘 | Zhang W Tall F Liu M | 2012 | Inf Teehnol Agric Eng2012，134，： | 1 |
| 8 | Diffusion-weighted imaging of the spine with a non-carr-purcell-meibnom-gill single-shot fast spin-echo sequence: initial experience显示文摘 | Oner AY Tall T Celikyuy F | 2007 | AJNR2007，28，3： | 1 |
| 9 | Experimental Investigation of Welded Built- Up Columns 显示文摘 | Estuar F R Tall L | 1963 | Welding Journal1963，42，4： | 1 |
| 10 | Relation between cholesterol ester transfer protein activities and lipoprotein cholesterol in patients with hypercholesterolemia and combined hyperlipidemia显示文摘 | Tato F Vega GL Tall AR Grundy SM | 1995 | Arterioscler Thromb Vasc Biology1995，15，1： | 1 |
| 11 | The phytoplankton population as a compound photosynthetic system显示文摘 | TALLING J F | 1957 | New Phytologist1957，56，2： | 1 |
| 12 | Diversity in the influence of temperature on the growth rates of freshwater algae and its ecological relevance显示文摘 | BDTTERWICK C HEANEY S I TALLING J F | 2005 | Freshwater Biology2005，50，2： | 1 |
| 13 | Experimental Investigation of the Buckling of Plates with Residual Stresses 显示文摘 | Nishino F Ueda Y Tall L | 1966 | Shanghai Manage- ment Science1966，18，1： | 1 |
| 14 | Enhancement of high threshold calcium cuments in rat primary aferent neurons by constitutively active protein kinaes C显示文摘 | I tall karen F Brouning Michael D Dudek ellen M | 1995 | Ncurosci1995，15，60： | 1 |
| 15 | Liver-specific overexpression of scavenger receptor BI decreases levels of very low density lipoprotein Apo B,low density lipoprotein Apo B,and high density lipoprotein in transgenic mice显示文摘 | Wang N Arai T Ji Y Rinninger F Tall AR | 1998 | J Biol Chem1998，273，32： | 1 |
| 16 | Environmental controls on the functioning of shallow tropical lakes显示文摘 | TALLING J F | 2001 | Hydrobiologia2001，458，： | 1 |
| 17 | Relationship between cholesterol ester triansfer protein activities and lipoprotein cholesterol in patients with hypercholesterolemia and combined hyperlipidemia 显示文摘 | Taro F Vega GL Tall A | 1995 | Arterioscler Thromb Vase Biol1995，15，11： | 1 |
| 18 | Vps9p Is a guanine nueleotide exchange factor involved in vesicle-mediated vacuolar protein transport显示文摘 | Hama H Tall G G Horazdovsky B F | 1999 | The Journal of Biol Chem1999，274，15： | 1 |
| 19 | ATP-binding cassette transporters G1 and G4 mediate cellular cholesterol efflux to high-density lipoproteins显示文摘 | Wang N Lan D Chen W Matsuura F Tall AR | 2004 | Proc Natl Acad Sci USA2004，101，： | 1 |
| 20 | Epidemiological study of Helicobacter pylori transmission from mther to child in Africa 显示文摘 | Alenggue M Tall F Dbis F | 1990 | RevEsp Enferm Dig1990，78，： | 1 |
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