title: Unusual spontaneous hepatic vein to paraumbilical vein shunt in a patient with Budd-Chiari syndrome and cirrhosis: a case report.
abstract: 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.
authors.affiliation: Department of Radiology, Hadassah University Hospital, Kiryat Hadassah, Jerusalem, Israel.
authors.forename: A I
authors.initials: AI
authors.lastname: Bloom
authors.forename: S E
authors.initials: SE
authors.lastname: Cohen
authors.forename: P D
authors.initials: PD
authors.lastname: Lebensart
authors.forename: O
authors.initials: O
authors.lastname: Pappo
authors.forename: A
authors.initials: A
authors.lastname: Eid
mesh_terms: 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