Magnetic resonance imaging of macroscopic intrahepatic portal-hepatic venous shunts

Araki, Tsutomu; Ohtomo, Kuni; Kachi, Kenji; Monzawa, Shuichi; Hihara, T; Ohba, Hiroshi; Ainoda, Takao; Kumagai, Hiroshi; Uchiyama, Guio

doi:10.1007/bf01887350

Cited by 15 publications

(5 citation statements)

References 10 publications

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“…Multiple diffuse shunts or a solitary shunt can be visualized. The solitary shunt can be either tubular, focally dilated or racemose in configuration (2,14,25,28). Color Doppler imaging and CT angiography are relatively non-invasive in diagnosis of SIPSVS.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Filik¹,

Boyacioglu

2006

Acta Med. (Hradec Kralove, Czech Repub.)

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Spontaneous intrahepatic portosystemic venous shunt (SIPSVS) is relatively rare and not well recognized. Herein, we report 75-year-old female of an aneurysmal portosystemic venous shunt detected by colour Doppler ultrasound in check-up examination. A direct vascular communication between left portal vein and middle hepatic vein was confirmed by CT-angiography. The cause of intrahepatic portosystemic venous shunt is disputed. This abnormality, mainly described in cirrhotic liver and rarely in healthy liver, is usually revealed by hepatic encephalopathy or glycoregulation disorders. However, with improvements in imaging the number of reports of SIPSVS identified incidentally in patients without definite symptoms increasing.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Filik¹,

Boyacioglu

2006

Acta Med. (Hradec Kralove, Czech Repub.)

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“…Magnetic resonant imaging (MRI) shows flow voids in the shunt region, while a transhepatic portography is the diagnostic test of choice to demonstrate the shunt. [6,7]…”

Section: Discussionmentioning

confidence: 99%

Intrahepatic portosystemic shunt in a young female: Views from a developing country

Majid

Haque

Ashraf

et al. 2019

Journal of Translational Internal Medicine

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A young female presented to us with abdominal distension along with pedal edema. She had no prior medical or surgical history apart from a caesarean section done a few years prior. Initial workup showed low hemoglobin, low serum albumin and slight raised ESR. Her LFTs were slightly deranged. Ultrasound abdomen had evidence of portal hypertension along with splenomegaly. While ultrasound hepatic Doppler revealed a portosystemic shunt between the portal vein and the left hepatic vein, with a shunt ratio of 7.1%. CT scan abdomen confirmed these findings and a diagnosis of Type III intrahepatic portosystemic shunt and spleno-renal shunt was made. Since the patient was currently asymptomatic, she was advised regular follow-ups and was managed conservatively.

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“…MRI demonstrates flow void within the region of the shunt. Additionally, MRI may be useful in visualizing multiple diffuse shunts [8]. Transarterial/transhepatic portography is diagnostic for shunt visualization demonstrating either the shunt itself or large pooling from the dilated portal branch with subsequent visualization of the hepatic vein [3].…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Congenital Intrahepatic Portosystemic Shunt

Brown

Hal

2009

Radiology Case Reports

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Congenital (spontaneous) intrahepatic portosystemic shunt is rare in the English literature. Most cases of portosystemic shunt occur after trauma, surgery, liver biopsy or as a result of chronic portal hypertension. Chronic shunting may result in encephalopathy, bleeding or hyperinsulinism. We report a case of an asymptomatic adult female with a presumed congenital intrahepatic portosystemic shunt and discuss the pertinent imaging findings and important key concepts related to this condition.

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Magnetic resonance imaging of macroscopic intrahepatic portal-hepatic venous shunts

Cited by 15 publications

References 10 publications

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Intrahepatic portosystemic shunt in a young female: Views from a developing country

Asymptomatic Congenital Intrahepatic Portosystemic Shunt

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