Advertisement
Research Article| Volume 34, ISSUE 6, P425-431, November 2010

Download started.

Ok

Multidetector CT findings of right intrahepatic portosystemic venous shunt

Published:December 31, 2009DOI:https://doi.org/10.1016/j.clinimag.2009.10.038

      Abstract

      Purpose

      To evaluate multidetector CT features of right intrahepatic portosystemic venous shunt (IPSVS).

      Materials and Methods

      Pathways of right IPSVS were evaluated from 20 patients. Diameters of right portal veins were measured in IPSVS patients, 30 cirrhotic and 30 healthy patients.

      Result

      Among 22 IPSVSs, shunt between posterior branch and inferior phrenic vein was most common. Diameters of the posterior branch were larger in IPSVS patients than in other groups.

      Conclusion

      Most right IPSVSs drain to inferior phrenic vein through dilated posterior branch.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Tanoue S
        • Kiyosue H
        • Komatsu E
        • Hori Y
        • Maeda T
        • Mori H
        Symptomatic intrahepatic portosystemic venous shunt: embolization with an alternative approach.
        AJR Am J Roentgenol. 2003; 181: 71-78
        • De Gaetano AM
        • Rinaldi P
        • Barbaro B
        • Mirk P
        • Di Stasi C
        • Gui B
        • Maresca G
        • Bonomo L
        Intrahepatic portosystemic venous shunts: color Doppler sonography.
        Abdom Imaging. 2007; 32: 463-469
        • Mori H
        • Hayashi K
        • Fukuda T
        • Matsunaga N
        • Futagawa S
        • Nagasaki M
        • Mutsukura M
        Intrahepatic portosystemic venous shunt: occurrence in patients with and without liver cirrhosis.
        AJR Am J Roentgenol. 1987; 149: 711-714
        • Park JH
        • Cha SH
        • Han JK
        • Han MC
        Intrahepatic portosystemic venous shunt.
        AJR Am J Roentgenol. 1990; 155: 527-528
        • Caiulo VA
        • Presta G
        • Latini G
        • Mattioli G
        • Jasonni V
        Diagnosis and follow-up of congenital intrahepatic portosystemic venous shunt by ultrasounds.
        Acta Paediatr. 2001; 90: 1209-1210
        • Grattagliano A
        • Rapaccini GL
        • Camaldo G
        • Pompili M
        • Marino P
        • Mastromatteo AM
        • Cotroneo AR
        • Gasbarrini G
        Spontaneous intrahepatic portosystemic venous shunt in a patient with cirrhosis: diagnosis by combined color Doppler and pulsed Doppler ultrasonography.
        Liver. 1997; 17: 307-310
        • Kanematsu M
        • Hoshi H
        • Imaeda T
        • Mizuno S
        • Yokoyama R
        Three-dimensional CT demonstration of intrahepatic portosystemic venous shunt draining into the inferior vena cava.
        Br J Radiol. 1997; 70: 418-420
        • Golli M
        • Kriaa S
        • Said M
        • Belguith M
        • Zbidi M
        • Saad J
        • Nouri A
        • Ganouni A
        Intrahepatic spontaneous portosystemic venous shunt: value of color and power Doppler sonography.
        J Clin Ultrasound. 2000; 28: 47-50
        • Remer EM
        • Motta-Ramirez GA
        • Henderson JM
        Imaging findings in incidental intrahepatic portal venous shunts.
        AJR Am J Roentgenol. 2007; 188: W162-W167
        • Sekido H
        • Nakano A
        • Takahashi T
        • Matsuo K
        • Mochizuki Y
        • Fukushima T
        • Tsuchiya S
        • Shimada H
        Hepatic encephalopathy secondary to a large-caliber porto-hepatic venous shunt. A case report.
        Hepatogastroenterology. 1992; 39: 316-318
        • Nagafuchi Y
        • Watanabe H
        • Kitahara K
        • Okamoto K
        • Hirata K
        • Tabaru A
        • Otsuki M
        • Nakata H
        • Itho H
        Intrahepatic portosystemic venous shunt: report of two cases assessed by helical computed tomography.
        Scand J Gastroenterol. 1996; 31: 1132-1135
        • Itai Y
        • Saida Y
        • Irie T
        • Kajitani M
        • Tanaka YO
        • Tohno E
        Intrahepatic portosystemic venous shunts: spectrum of CT findings in external and internal subtypes.
        J Comput Assist Tomogr. 2001; 25: 348-354
        • Lupescu I
        • Masala N
        • Capsa R
        • Campeanu N
        • Georgescu SA
        CT and MRI of acquired portal venous system anomalies.
        J Gastrointestin Liver Dis. 2006; 15: 393-398
        • Hiraoka A
        • Kurose K
        • Hamada M
        • Azemoto N
        • Tokumoto Y
        • Hirooka M
        • Hasebe A
        • Kumagi T
        • Hirata M
        • Michitaka K
        • Ninami H
        • Murakami M
        • Isobe Y
        • Horoke N
        • Onji M
        Hepatic encephalopathy due to intrahepatic portosystemic venous shunt successfully treated by interventional radiology.
        Intern Med. 2005; 44: 212-216
        • Doehner GA
        • Ruzicka FF
        • Rousselot LM
        • Hoffman G
        The portal venous system: on its pathological roentgen anatomy.
        Radiology. 1956; 66: 206-217
        • Nomura F
        • Ohnishi K
        • Terabayashi H
        • Nakai T
        • Isobe K
        • Takekoshi K
        • Okuda K
        Effect of intrahepatic portal-systemic shunting on hepatic ammonia extraction in patients with cirrhosis.
        Hepatology. 1994; 20: 1478-1481
        • Lafortune M
        • Martinet JP
        • Denys A
        • Patriquin H
        • Dauzat M
        • Dufresne MP
        • Colombato L
        • Promier-Layragues G
        Short- and long-term hemodynamic effects of transjugular intrahepatic portosystemic shunts: a Doppler/manometric correlative study.
        AJR Am J Roentgenol. 1995; 164: 997-1002
        • Ishikawa Y
        • Asuwa N
        • Ishii T
        • Ito K
        • Akasaka Y
        • Masuda T
        • Zhang L
        • Kiguchi H
        Collagen alteration in vascular remodeling by hemodynamic factors.
        Virchows Arch. 2000; 437: 138-148