Congenital extrahepatic portosystemic shunt
Updates to Case Attributes
References changed:
- Gallego C, Velasco M, Marcuello P, Tejedor D, De Campo L, Friera A. Congenital and acquired anomalies of the portal venous system. (2002) Radiographics : a review publication of the Radiological Society of North America, Inc. 22 (1): 141-59. <a href="https://doi.org/10.1148/radiographics.22.1.g02ja08141">doi:10.1148/radiographics.22.1.g02ja08141</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11796904">Pubmed</a> <span class="ref_v4"></span>
- Wai-Kit Lee, Silvia D. Chang, Vinay A. Duddalwar, Jules M. Comin, Warren Perera, Wing-Fai E. Lau, Elhamy K. Bekhit, Oliver F. Hennessy. Imaging Assessment of Congenital and Acquired Abnormalities of the Portal Venous System. (2011) RadioGraphics. 31 (4): 905-26. <a href="https://doi.org/10.1148/rg.314105104">doi:10.1148/rg.314105104</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/21768231">Pubmed</a> <span class="ref_v4"></span>
- Alonso-Gamarra E, Parrón M, Pérez A, Prieto C, Hierro L, López-Santamaría M. Clinical and radiologic manifestations of congenital extrahepatic portosystemic shunts: a comprehensive review. (2011) Radiographics : a review publication of the Radiological Society of North America, Inc. 31 (3): 707-22. <a href="https://doi.org/10.1148/rg.313105070">doi:10.1148/rg.313105070</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/21571652">Pubmed</a> <span class="ref_v4"></span>
- Gallego C, Velasco M, Marcuello P, Tejedor D, De Campo L, Friera A. Congenital and acquired anomalies of the portal venous system. Radiographics. 2002 Jan;22(1):141-59.
- Lee WK, Chang SD, Duddalwar VA, Comin JM, Perera W, Lau WF, Bekhit EK, Hennessy OF. Imaging assessment of congenital and acquired abnormalities of the portal venous system. Radiographics. 2011 Jul 8;31(4):905-26.
- Alonso-Gamarra E, Parrón M, Pérez A, Prieto C, Hierro L, López-Santamaría M. Clinical and radiologic manifestations of congenital extrahepatic portosystemic shunts: a comprehensive review. Radiographics. 2011 May 4;31(3):707-22.
Updates to Study Attributes
CT scan abdomen with contrast acquired during portal phase show, a hypoplastic portal vein. A large tortuous vein is seen communicating between the splenic vein and left renal vein consistent with Splenorenal shunt.
Abdominal subcutaneous edema with dilated second left lumbar and subcutaneous veins.
NO FINDING SUGGESTING CHRONIC LIVER CIRRHOSISNo finding suggesting chronic liver cirrhosis
SPLEEN SIZE IS NORMALSpleen size is normal
NO ASCITES No ascites
Conclusion:
IN THE ABSENCE OF SIGNS OF CHRONIC LIVER DISEASE/PORTAL HYPERTENSION FINDING ARE SUGGESTING OF CONGENITAL EXTRAHEPATIC PORTOSYSTEMIC SHUNT (TYPEIn the absence of signs of chronic liver disease/portal hypertension findings are suggesting of congenital extrahepatic portosystemic shunt (type 2).
Image CT (MIP along axis of portal vein) ( update )
Image 5 CT (MIP along axis of portal vein) ( create )
Image 6 CT (MIP) ( update )
Image 7 CT (3D) ( update )
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