Case report

Journal of Medical Case Reports

, 6:167

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Management strategy after diagnosis of Abernethy malformation: a case report

  • Caroline DM WitjesAffiliated withDepartment of Hepatobiliary and Transplantation Surgery, Erasmus Medical Center, University Medical Center Rotterdam Email author 
  • , Jan NM IjzermansAffiliated withDepartment of Hepatobiliary and Transplantation Surgery, Erasmus Medical Center, University Medical Center Rotterdam
  • , Anton Vonk NoordegraafAffiliated withDepartment of Pulmonary Medicine, VU University Medical Center Amsterdam
  • , TC Khe TranAffiliated withDepartment of Hepatobiliary and Transplantation Surgery, Erasmus Medical Center, University Medical Center Rotterdam

Abstract

Introduction

The Abernethy malformation is a rare anomaly with a widely variable clinical presentation. Many diagnostic dilemmas have been reported. Nowadays, with the evolution of medical imaging, diagnosis can be made more easily, but management of patients with an Abernethy malformation is still open for discussion.

Case presentation

In this case study, we describe a 34-year-old Caucasian man who presented with a large hepatocellular carcinoma in the presence of an Abernethy malformation, which was complicated by the development of pulmonary arterial hypertension.

Conclusion

This case underlines the importance of regular examination of patients with an Abernethy malformation, even in older patients, to prevent complications and to detect liver lesions at an early stage.

Keywords

hepatocellular carcinoma arteriovenous malformation Abernethy malformation pulmonary hypertension