Hepatocellular carcinoma and arterio-portal fistula

Case contributed by Dr Ahmed Abd Rabou

Presentation

Abdominal pain, dyspepsia and progressive distension

Patient Data

Age: 64 years old
Gender: Male

multifocal hepatocellular carcinomas involve hepatic subsegments VIII and IVa and display typical enhancing criteria, early arterial enhancement followed by rapid washout in portovenous phase. Early filling of the right and left portal branches are seen in arterial phase due to an arterio-portal shunt involves the right portal vein branch. Hepatic cirrhotic changes, splenomegaly, portal hypertension, small bowel congestion, calcular gall bladder and ascites are also noted.

Case Discussion

Intrahepatic arterio-portal shunt can occur as a complication of hepatocellular carcinoma (tumorous shunt) or non-tumorous in case of hepatic intervention.

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Case Information

rID: 41648
Case created: 11th Dec 2015
Last edited: 3rd Mar 2016
Inclusion in quiz mode: Included

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