Extrahepatic Portosystemic Venous Shunt without Portal Hypertension
| Autor: | Akihiko Oguri, Shinji Sato, Masahiko Yamada, Hiroshi Sano, Yasuhiro Nishimoto, Katsumoto Kato, Naoyuki Katada, Hiroshi Hoshino, Daisaku Nishimura |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Cirrhosis Portal venous pressure Vena Cava Inferior Inferior vena cava Mesenteric Veins Hypertension Portal Internal Medicine medicine Humans Superior mesenteric vein Hepatic encephalopathy Aged medicine.diagnostic_test business.industry Angiography General Medicine medicine.disease Surgery medicine.vein Hepatic Encephalopathy Liver biopsy cardiovascular system Inferior mesenteric vein Portal hypertension Female Radiology business |
| Zdroj: | Internal Medicine. 36:886-889 |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | A 72-year-old woman was admitted for recurrent episodes of encephalopathy. Laboratory data showed mild liver dysfunction and hyperammonemia, while she had neither anemia nor splenomegaly. The dilated inferior mesenteric vein (IMV) was opacified retrogradely from the superior mesenteric vein by superior mesenteric arteriography, and IMV was found to connect with the inferior vena cava (IVC) through a torturous shunt. No obstruction of the extrahepatic portal vein or hepatic vein was observed by arteriography. Histological evaluation of the liver biopsy indicated remarkable fatty change without cirrhosis. Finally, we diagnosed this case as extrahepatic portosystemic venous shunt without portal hypertension. |
| Databáze: | OpenAIRE |
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