Portal systemic shunt between the hepatic portal vein and right renal vein in a patient with multifocal hepatocellular carcinoma: Case report

• Published in: Journal of clinical ultrasound Vol. 45; no. 8; pp. 524 - 527
• Main Authors: Sabol Pušić, Mateja, Budimir, Ivan, Dorosulić, Zdravko, Ostrički, Branko, Nikolić, Marko, Lovrenčić Prpić, Gordana, Sreter, Katherina B.
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01-10-2017
• Subjects: Aneurysm; Ascites; Bypasses; Carcinoma, Hepatocellular - complications; Carcinoma, Hepatocellular - diagnostic imaging; Carcinoma, Hepatocellular - physiopathology; Case reports; Circulation; cirrhosis; Collateral Circulation - physiology; Fatal Outcome; Hepatic encephalopathy; Hepatic Encephalopathy - complications; Hepatic Encephalopathy - diagnostic imaging; Hepatic Encephalopathy - physiopathology; Hepatocellular carcinoma; Humans; Hypertension; Hypertension, Portal - complications; Hypertension, Portal - diagnostic imaging; Hypertension, Portal - physiopathology; Kidneys; Liver cancer; Liver Cirrhosis - complications; Liver Cirrhosis - diagnostic imaging; Liver Cirrhosis - physiopathology; Liver Neoplasms - complications; Liver Neoplasms - diagnostic imaging; Liver Neoplasms - physiopathology; Male; Middle Aged; portal hypertension; Portal vein; Portal Vein - diagnostic imaging; Portal Vein - physiopathology; Renal Veins - diagnostic imaging; Renal Veins - physiopathology; Shunts; Thromboembolism; Thrombosis; Tomography, X-Ray Computed - methods; Ultrasonic imaging; Ultrasonography - methods; Ultrasound; portal hypertension; cirrhosis; hepatocellular carcinoma; hepatic encephalopathy
• ISSN: 0091-2751; 1097-0096
• DOI: 10.1002/jcu.22437

ABSTRACT
Portal hypertension is a clinical syndrome characterized by the development of collateral circulation and portosystemic shunts, as well as ascites and hepatic encephalopathy. We present the case of a large portosystemic shunt between the hepatic portal vein and aneurysmal right renal vein in a cirrhotic 64‐year‐old man with thrombosis of the portal vein and hepatocellular carcinoma. This is a very rare clinical manifestation which, to our knowledge, has been described only once previously in the literature. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:524–527, 2017