title: Intrahepatic spontaneous portosystemic venous shunt: value of color and power Doppler sonography.
abstract: Spontaneous portosystemic venous shunts (SPVSs) within the hepatic parenchyma are rare. Fewer than 50 cases have been reported, and most of them were diagnosed by angiography. We present a case of SPVS diagnosed by color Doppler sonography in a 5-year-old boy admitted for bleeding due to rupture of esophageal varices. Conventional color and power Doppler sonography as well as CT showed a large shunt between the posterior branch of the right portal vein and the inferior vena cava. We believe that accurate diagnosis and follow-up of SPVS can be done with color Doppler sonography without resorting to angiography.
authors.affiliation: Department of Radiology, Service d'Imagerie Médicale, Centre Hospital Universitaire F. Bourguiba, 5019 Monastir, Tunisia.
authors.forename: M
authors.initials: M
authors.lastname: Golli
authors.forename: S
authors.initials: S
authors.lastname: Kriaa
authors.forename: M
authors.initials: M
authors.lastname: Said
authors.forename: M
authors.initials: M
authors.lastname: Belguith
authors.forename: M
authors.initials: M
authors.lastname: Zbidi
authors.forename: J
authors.initials: J
authors.lastname: Saad
authors.forename: A
authors.initials: A
authors.lastname: Nouri
authors.forename: A
authors.initials: A
authors.lastname: Ganouni
mesh_terms: D002675:Child, Preschool; D004065:Digestive System Abnormalities / Q000150:complications / Q000000981:diagnostic imaging*; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging* / Q000209:etiology; D006396:Hematemesis / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D011169:Portal Vein / Q000002:abnormalities / Q000000981:diagnostic imaging*; D011170:Portasystemic Shunt, Surgical; D012680:Sensitivity and Specificity; D018615:Ultrasonography, Doppler, Color / Q000379:methods*; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000000981:diagnostic imaging*