Intrahepatic portosystemic venous shunt: report of two cases assessed by helical computed tomography.
BACKGROUND
Three-dimensional (3D) anatomic analysis was carried out, using helical computed tomography (helical CT), to evaluate its usefulness in two cases of large intrahepatic portosystemic venous shunt (IPSVS).


METHODS
Case 1, a 74-year-old man with type-C hepatitis, underwent hepatic angiography to confirm suggested IPSVS of the left hepatic lobe in 1994. Case 2, a 62-year-old woman with liver cirrhosis associated with type-B hepatitis, was hospitalized for evaluation of suspected hepatocellular carcinoma in 1994. Hepatic angiography disclosed a large IPSVS in the right hepatic lobe. Retrospective evaluation of CT showed that the size of this shunt had increased over the 5 years 3D anatomic analysis was carried out, and the shunt vessels were clearly demonstrated.


CONCLUSIONS
3D anatomic analysis using helical CT was less invasive and useful for evaluating large IPSVS.
Nagafuchi
Y
Y
First Dept. of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyshu, Japan.
Watanabe
H
H
Kitahara
K
K
Okamoto
K
K
Hirata
K
K
Tabaru
A
A
Otsuki
M
M
Nakata
H
H
Itho
H
H
D000368:Aged; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D007091:Image Processing, Computer-Assisted; D008099:Liver / Q000098:blood supply*; D008297:Male; D011169:Portal Vein / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014682:Vena Cava, Inferior / Q000473:pathology*