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

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 i...

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Veröffentlicht in:	Journal of clinical ultrasound 2017-10, Vol.45 (8), p.524-527
Hauptverfasser:	Sabol Pušić, Mateja, Budimir, Ivan, Dorosulić, Zdravko, Ostrički, Branko, Nikolić, Marko, Lovrenčić Prpić, Gordana, Sreter, Katherina B.
Format:	Artikel
Sprache:	eng
Schlagworte:	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
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Zusammenfassung:	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
ISSN:	0091-2751 1097-0096
DOI:	10.1002/jcu.22437