Abstract
Direct communication between portal branches and the hepatic vein [macroscopic intrahepatic portal-hepatic venous shunt (IPHVS)] is a rare entity. We have recently studied five patients with this condition. Magnetic resonance imaging (MRI) clearly demonstrated in each case the portal-hepatic venous shunt due to “flow void. “ Multiple diffuse shunts were present in one case and a solitary shunt was demonstrated in the others. The solitary shunt was either tubular, focally dilated or racemose in configuration. The MRI findings and clinical significance of this rare entity are discussed.
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References
Ohnishi K, Hatano H, Nakayama T, Kohno K, Okuda K. An unusual portal-systemic shunt, most likely through a patent ductus venosus. A case report.Gastroenterology 1983; 85:962–965
Taguchi H, Horiguchi Y, Kitano T. Two cases of intrahepatic portosystemic shunt.Jpn J Med Ultrason 1983; 43:71–72
Ohtomo K, Furui S, Saito M, Kokubo T, Itai Y, Iio M. Case report: enormous intrahepatic communication between the portal vein and the hepatic vein.Clin Radiol 1986; 37:513–514
Horiguchi Y, Kitano T, Imai H, Ohsuki M, Yamauchi M, Itoh M. Intrahepatic portal-systemic shunt: its etiology and diagnosis.Gastroenterol Jpn 1987; 22:496–502
Fujita M, Iishi H, Kawamoto S, Sato T, Imaoka S. Extensive portal-hepatic venous shunts accompanied by arterioportal shunts.Gastrointest Radiol 1988; 13:351–354
Schaffner F, Popper H. Capillarization of hepatic sinusoids in man.Gastroenterology 1963; 44:239–242
Popper H. Pathologic aspects of cirrhosis.Am J Pathol 1977; 87:228–263
Mitra SK. Hepatic vascular changes in human and experimental cirrhosis.J Pathol Bacteriol 1966; 92:405–414
Hales MR, Allan JS, Hall EM. Injection-corrosion studies of normal and cirrhotic livers.Am J Pathol 1959; 35:909–941
Raskin NH, Price JB, Fishman RA. Portal-systemic encephalopathy due to congenital intrahepatic shunts.N Engl J Med 1964; 270:225–229
Kozuka S, Sassa R, Kakumu S. An enormous intrahepatic shunt between portal vein and hepatic one.Angiology 1975; 26:365–371
Takayasu K, Moriyama N, Shima Y. Spontaneous portalhepatic venous shunt via an intrahepatic portal vein aneurysm.Gastroenterology 1984; 86:945–948
Tsukuda M, Yokomizo Y, Nanbu T, Tamura S. Intrahepatic portal vein aneurysm with portal-hepatic venous shunt: case report.Acta Radiol Jpn 1988; 48:304–307
Yamashita S, Namata K, Muro T, et al. A case of hepatic encephalopathy due to diffuse intrahepatic porto-systemic shunts.Nippon Naika Gakkaishi 1981; 71:100–106 (Japanese)
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Araki, T., Ohtomo, K., Kachi, K. et al. Magnetic resonance imaging of macroscopic intrahepatic portal-hepatic venous shunts. Gastrointest Radiol 16, 221–224 (1991). https://doi.org/10.1007/BF01887350
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DOI: https://doi.org/10.1007/BF01887350