title: [A rare mesentericocaval shunt in a case of alpha 1-antitrypsin deficiency].
abstract: We report the rare case of a 27-year-old man with decompensated cirrhosis of the liver caused by a deficiency of alpha-1-antitrypsin. The patient was scheduled for liver transplantation. Diagnostic procedures prior to surgery revealed an unusual hepatofugal collateral channel with a marked mesenterico-, lieno-, and renocaval shunt. Since the liver cirrhosis had already been manifest during early infancy, this shunt had formed spontaneously without developing esophagogastric varices.
authors.affiliation: Röntgenabteilung Zentrum Innere Medizin der Universität Erlangen-Nürnberg.
authors.forename: H
authors.initials: H
authors.lastname: Arenander
authors.forename: W
authors.initials: W
authors.lastname: Rödl
mesh_terms: D000328:Adult; D003097:Collateral Circulation; D005838:Genotype; D006801:Humans; D008103:Liver Cirrhosis / Q000209:etiology / Q000503:physiopathology*; D008297:Male; D008642:Mesenteric Veins / Q000503:physiopathology; D013162:Splenic Vein / Q000503:physiopathology; D014682:Vena Cava, Inferior / Q000503:physiopathology; D019896:alpha 1-Antitrypsin Deficiency
vernacular_title: Seltener mesenterikokavaler Shunt bei alpha 1-Antitrypsinmangel.