Endovascular treatment of a portosystemic shunt presenting with hypoglycemia; case presentation and review of literature

Abstract

Here we present a rare case of hyperinsulinemic-hypoglycemia due to congenital intrahepatic and extrahepatic portosystemic shunts. Performing percutaneous closure of such shunts has been reported to improve symptomatic hypoglycemia in this setting. This case is unique given the type of shunt (both with intrahepatic and extrahepatic components) and the clinical improvement following placement of a single vascular plug to occlude both intrahepatic and extrahepatic connections.

Keywords: Extra-hepatic; Hypoglycemia; Intra-hepatic; Portosystemic shunt.