Asymptomatic Intrahepatic Portosystemic Venous Shunt: Case Report and Review of Literature

Abstract

A spontaneous portosystemic shunt is a rare malformation of the liver vessels. The etiology of these shunts is controversial. They can be divided into acquired (most commonly associated with liver cirrhosis) and congenital. Vascular shunts are asymptomatic in the majority of the patients, and when symptomatic were presented by severe complications. The specific way of management can be selected depended on whether the patient was symptomatic or not, and also on the size of the shunt, shunt ratio and whether it was associated with cancer. We will present a clinical case and discuss the importance of the radiological imaging in the screening, diagnosis and follow up of these anomalies.

Prenatal diagnosis of congenital portosystemic shunt: A single‐center study

“…Numerous studies on CPSS have been published; most described neonates or adults and were reported in pediatric and radiology journals 2,12 …”

“…CPSS potentially lead to problems in postnatal life when they persist, especially in children, which include a broad spectrum of clinical manifestations, namely, the condition can remain asymptomatic or cause metabolic disorders and damage various organs and systems, such as the liver, central nervous system and respiratory tract. Encephalopathy is the most common disorder 12 . EHPSS patients present symptoms earlier and worse than IHPSS patients.…”