Year 2015 / Volume 107 / Number 12
Letter to the Editor
TIPS treatment in a patient with severe lower gastrointestinal bleeding with a misdiagnosis of cirrhotic portal hypertension

766-767

DOI: 10.17235/reed.2015.3794/2015

Alicia Laborda, José Andrés Guirola, Joaquín Medrano, Miguel Ángel Simón, Ignatios Ioakeim, Miguel Ángel de Gregorio,

Abstract
Abernethy malformation is a rare abnormal embryological development of splanchnic venous system characterised by the presence of a congenital extrahepatic portosystemic shunt. We present a rare case of an adult male patient that was admitted with severe lower gastrointestinal bleeding, requiring multiple blood transfusions. The patient's medical history and the laboratory tests performed led to the misdiagnosis of a congenital Abernethy malformation. We present a rare case, discussing the reasons for the misdiagnosis and we conclude that management of clinical data and imaging are highly important to discard these types of congenital malformations that can mimic a portal hypertension condition.
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10/12/2015 5:22:18
Es una malformación , rara pero a tener en cuenta ya que puede llevar a tomar actitudes terapéuticas incorrectas


References
1. Abernethy J, Banks J (1793) Account of two instances of uncommon formation in the viscera of the human body. Phil Trans R Soc 83: 59-66.
2. Morgan G, Superina R (1994) Congenital absence of the portal vein: two cases and a proposed classification system for portasystemic vascular anomalies. J Pediatr Surg 29: 1239–1241. PMID: 7807356.
3. Lautz TB, Tantemsapya N, Rowell E, et al.(2011) Management and classification of type II congenital portosystemic shunts. J Pediatr Surg 46: 308-314. PMID: 21292079.
4. Sato T, Akaike J, Toyota J, et al. (2011) Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011: 960720 Epub 2011 Jul 31 PMID: 21994879.
5. Alonso-Gamarra E, Parrón M, Pérez A, et al. (2011) Clinical and radiologic manifestations of congenital extrahepatic portosystemic shunts: a comprehensive review. Radiographics 31: 707-722. PMID: 21571652.
Citation tools
Laborda A, Guirola J, Medrano J, Simón M, Ioakeim I, de Gregorio M, et all. TIPS treatment in a patient with severe lower gastrointestinal bleeding with a misdiagnosis of cirrhotic portal hypertension. 3794/2015


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Publication history

Received: 02/04/2015

Accepted: 06/06/2015

Online First: 26/10/2015

Published: 03/12/2015

Article revision time: 58 days

Article Online First time: 207 days

Article editing time: 245 days


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