Presentation
Patient with severe ascites and signs of liver cytolysis. Ultrasound suggests a portocaval shunt.
Patient Data
CT and subsequent angiography revealed a large aorto portal shunt. The shunt is fed from the branches of the celiac trunk.
The contrast was injected through the leg, so there are artifacts in the inferior vena cava from it.
The shunt is fed from the branches of the celiac trunk.
This is the course of the operation. It was isolated from the surrounding tissues of the liver, all nutrient vessels were clipped, then the shunt was removed.
This case is presented together with my colleague from Children's City Clinical Hospital №13 named N.F. Filatov Moscow City Health Departments: Galibin I., Razumovskiy A., Borisova E, Smolyankin A., Podvoyskaya I, Stepanenko N., Strizhova D.
Case Discussion
This is an extremely rare abnormality of the liver vessels. Congenital portosystemic venous shunts are much more common.
The shunt was surgically removed.
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