Management and treatment of decompensated hepatic fibrosis and severe refractory Schistosoma mansoni ascites with transjugular intrahepatic portosystemic shunt

This study aimed to report the first case of a patient with hepatosplenic schistosomiasis mansoni, refractory ascites and portal vein thrombosis treated with a transjugular intrahepatic portosystemic shunt (TIPS), at the Instituto de Radiologia, Hospital das Clinicas, Faculdade de Medicina, Universi...

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Bibliographic Details
Authors: Santo, Maria Cristina Carvalho do Espírito, Gryschek, Ronaldo Cesar Borges, Farias, Alberto Queiroz, Andraus, Wellington, Carvalho, Noêmia Barbosa, Leite, Olavo Henrique Munhoz, Castro, Felipe Corrêa, Cerri, Giovanni Guido, Hypólitti, Gustavo Henrique, Carnevale, Francisco César, Assis, André Moreira de
Format: article
Status:Published version
Publication Date:2022
Country:Brasil
Institution:Instituto de Medicina Tropical (IMT)
Repository:Revista do Instituto de Medicina Tropical de São Paulo
Language:English
OAI Identifier:oai:revistas.usp.br:article/196397
Online Access:https://www.revistas.usp.br/rimtsp/article/view/196397
Access Level:Open access
Keyword:Schistosoma mansoni
Refractory ascites
Transjugular intrahepatic portosystemic shunt
Description
Summary:This study aimed to report the first case of a patient with hepatosplenic schistosomiasis mansoni, refractory ascites and portal vein thrombosis treated with a transjugular intrahepatic portosystemic shunt (TIPS), at the Instituto de Radiologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Brazil. After the procedure, the patient recovered favorably and progressed with portal pressure reduction and no deterioration of the liver function. Endovascular shunt modification is a conservative medical approach that often helps in reducing symptoms significantly, making it a less invasive and a safer alternative to liver transplantation for the treatment of schistosomiasis with portal hypertension.

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