Aorto portal shunt

Case contributed by Dr Vlad Barskiy

Presentation

Patient with severe ascites and signs of liver cytolysis. Ultrasound suggests a portocaval shunt.

Patient Data

Age: 6 months
Gender: Female
ct

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.

dsa

The shunt is fed from the branches of the celiac trunk. 

Photo

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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