Intrahepatic inferior vena cava interruption with transhepatic venous continuation initially misdiagnosed as a congenital portosystemic shunt
| Autor: | Hang Yu, Stephanie Dyck |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
MRI
Magnetic resonance imaging Transhepatic continuation VIBE volumetric interpolated breath-hold examination R895-920 Case Report HPB hepato-pancreato-biliary MIP Maximum intensity projection Portosystemic shunt CTA CT angiography Medical physics. Medical radiology. Nuclear medicine IVC inferior vena cava IVC interruption cardiovascular system CT Computed tomography Radiology Nuclear Medicine and imaging ECG electrocardiogram MDCT Multidetector CT |
| Zdroj: | Radiology Case Reports, Vol 17, Iss 3, Pp 446-449 (2022) Radiology Case Reports |
| ISSN: | 1930-0433 |
| Popis: | We report a case of intrahepatic inferior vena cava interruption with azygos and transhepatic venous continuation discovered incidentally on CT angiography for acute aortic syndrome. The lesion was initially misdiagnosed as a congenital portosystemic shunt on multiphase CT of the liver but subsequent fluoroscopic venogram revealed no evidence of portosystemic shunting. While intrahepatic IVC interruption with azygos continuation is an uncommon but well-known anatomical variant, transhepatic venous continuation is extremely rare and only a few cases have been published. Excluding portosystemic shunting is important for determining management as persistent congenital portosystemic shunts can be associated with significant morbidity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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