TIPS treatment in a patient with severe lower gastrointestinal bleeding with a misdiagnosis of cirrhotic portal hypertension.

Laborda, Alicia (Universidad de Zaragoza) ; Guirola, JA ; Medrano, J (Universidad de Zaragoza) ; Simón, MÁ (Universidad de Zaragoza) ; Ioakeim, I ; de Gregorio, MÁ. (Universidad de Zaragoza)

Resumen: 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.

Idioma: Español

DOI: 10.17235/reed.2015.3794/2015

Año: 2015

Publicado en: REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS 107, 12 (2015), 766-767
ISSN: 1130-0108

Factor impacto JCR: 1.455 (2015)

Categ. JCR: GASTROENTEROLOGY & HEPATOLOGY rank: 67 / 79 = 0.848 (2015) - Q4 - T3

Factor impacto SCIMAGO: 0.377 - Medicine (miscellaneous) (Q3) - Gastroenterology (Q3)

Tipo y forma: (Versión definitiva)

Área (Departamento): Área Radiol. y Medicina Física (Dpto. Pediatría Radiol.Med.Fís)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
Área (Departamento): Área Medicina y Cirugía Animal (Dpto. Patología Animal)