Spontaneous aneurysmal portohepatic fistula: imaging diagnosis

Intrahepatic portosystemic venous shunts not related to trauma or biopsy are infrequent and their etiology is controversial. A congenital or acquired origin due to cirrhosis and portal hypertension has been proposed. Hepatic encephalopathy is present when there is associated cirrhosis. We describe a...

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Bibliographic Details
Published in:	Gastroenterología y hepatología Vol. 27; no. 9; p. 525
Main Authors:	Mayayo Sinués, E, Lidón Lorente, M C, Fuentes Olmo, J, Yagüe Romeo, D, Soriano Guillén, A, Uribarrena Amezaga, R
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-11-2004
Subjects:	Aged Diagnosis, Differential Female Hepatic Veins - abnormalities Hepatic Veins - diagnostic imaging Humans Liver - abnormalities Liver - blood supply Liver - diagnostic imaging Magnetic Resonance Imaging Portal Vein - abnormalities Portal Vein - diagnostic imaging Portography Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Doppler, Color Vascular Fistula - diagnostic imaging Vascular Fistula - therapy
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Summary:	Intrahepatic portosystemic venous shunts not related to trauma or biopsy are infrequent and their etiology is controversial. A congenital or acquired origin due to cirrhosis and portal hypertension has been proposed. Hepatic encephalopathy is present when there is associated cirrhosis. We describe a case of aneurysmal portohepatic venous fistula that was incidentally diagnosed with conventional ultrasonography and was subsequently confirmed by Doppler ultrasonography and computed tomography scan. Because there were no symptoms of encephalopathy, no surgical or vascular percutaneous treatment was provided.
ISSN:	0210-5705