Color Doppler sonography in the diagnosis of neonatal intrahepatic portosystemic shunts.
Intrahepatic portosystemic shunts are infrequent in children. We report 3 cases of neonates who presented with jaundice during the first month of life. Color Doppler sonography in the first 2 cases showed direct communication between the right portal and hepatic veins. Both infants were asymptomatic, and the shunts disappeared spontaneously. The third case involved several shunts and an aberrant medial portal vein. This patient developed heart failure and died after surgery. Color Doppler sonography was useful in the diagnosis and follow-up of the shunts in all 3 cases.
Valls
E
E
Department of Radiology, Hospital Materno-Infantil, Complejo Hospitalario Carlos Haya, Arroyo de Los Angeles s/n, Málaga 29007, Spain.
Ceres
L
L
Urbaneja
A
A
Muñoz
R
R
Alonso
I
I
D004065:Digestive System Abnormalities / Q000000981:diagnostic imaging*; D017809:Fatal Outcome; D005260:Female; D005500:Follow-Up Studies; D006503:Hepatic Veins / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging / Q000209:etiology; D007231:Infant, Newborn; D007567:Jaundice, Neonatal / Q000000981:diagnostic imaging* / Q000209:etiology; D008102:Liver Circulation; D008297:Male; D011169:Portal Vein / Q000002:abnormalities / Q000000981:diagnostic imaging* / Q000601:surgery; D012680:Sensitivity and Specificity; D018615:Ultrasonography, Doppler, Color / Q000379:methods*