ArticleCureus2025
Intrahepatic Portosystemic Shunt Causing Hepatic Encephalopathy in a Non-cirrhotic Patient.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 60-year-old woman presented with persistent nausea, new-onset tremulousness, and altered mental status. Abdominal and pelvic computed tomography (CT) revealed a large intrahepatic portosystemic connection, suspicious for a portal venous malformation. She underwent two image-guided embolization procedures. The first, via a transcaval approach, reduced shunt flow and improved ammonia levels. The second, using combined transhepatic and transfemoral access, achieved complete occlusion and led to sustained clinical improvement. This case underscores the importance of considering hepatic encephalopathy in non-cirrhotic patients with altered mental status and recognizing portosystemic shunts as a potential underlying cause.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.