RESUMEN
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Asunto(s)
Humanos , Femenino , Adulto , Diálisis Peritoneal/métodos , Hiponatremia/etiología , Electrólitos/uso terapéutico , Diálisis Peritoneal/efectos adversos , Hipopotasemia/complicaciones , Ultrafiltración/efectos adversos , Artritis Reumatoide/complicaciones , Artritis Reumatoide/tratamiento farmacológico , DiuresisAsunto(s)
Hiponatremia/etiología , Diálisis Peritoneal/efectos adversos , Adulto , Femenino , HumanosRESUMEN
OBJECTIVE: To report on 2 patients with alcoholic cirrhosis who were treated with transjugular intrahepatic portosystemic shunt (TIPS) placement. CLINICAL PRESENTATION AND INTERVENTION: The 2 patients had a history of alcoholic cirrhosis, and TIPS surgery was performed on them. In both cases, 4 months after TIPS placement, proteinuria was observed along with histological alterations characteristic of immune complex membranoproliferative glomerulonephritis (MPGN). CONCLUSION: The TIPS in one patient was successful without immediate complications, while the other patient was referred for a combined liver-kidney transplant. In both cases, immune complex MPGN might have developed after TIPS placement probably due to a reduced immune complex clearance.
