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

• Published in: Revista do Instituto de Medicina Tropical de São Paulo
• Main Authors: Maria Cristina Carvalho do Espírito Santo, Ronaldo Cesar Borges Gryschek, Alberto Queiroz Farias, Wellington Andraus, Noêmia Barbosa Carvalho, Olavo Henrique Munhoz Leite, Felipe Corrêa Castro, Giovanni Guido Cerri, Gustavo Henrique Hypólitti, Francisco César Carnevale, André Moreira de Assis
• Format: Article in Journal/Newspaper
• Language: English
• Published: Universidade de São Paulo (USP) 2022
• Subjects: Schistosoma mansoni; Refractory ascites; Transjugular intrahepatic portosystemic shunt; Arctic medicine. Tropical medicine; RC955-962; Infectious and parasitic diseases; RC109-216; Arctic
• Online Access: https://doi.org/10.1590/s1678-9946202264026; https://doaj.org/article/a05cee9ab5564293823051c261fd3d31

ABSTRACT 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.