Unusual spontaneous hepatic vein to paraumbilical vein shunt in a patient with Budd-Chiari syndrome and cirrhosis: a case report.
A very unusual portosystemic shunt was identified using color flow Doppler sonography in an adult male with Budd-Chiari syndrome and cirrhosis secondary to a hypercoagulability state. Hepatofugal blood flow was demonstrated between the middle hepatic vein and a recanalized paraumbilical vein, resulting clinically in prominent periumbilical veins. The clinical and radiological features are described.
Bloom
A I
AI
Department of Radiology, Hadassah University Hospital, Kiryat Hadassah, Jerusalem, Israel.
Cohen
S E
SE
Lebensart
P D
PD
Pappo
O
O
Eid
A
A
D000328:Adult; D006502:Budd-Chiari Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008103:Liver Cirrhosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D008297:Male; D011168:Portal System / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography