Congenital extrahepatic portocaval shunt associated with hepatic hyperplastic nodules in a patient with Dubin-Johnson syndrome.
We report a rare case of congenital extrahepatic portocaval shunt diagnosed during evaluation of hyperplastic nodules in the liver. Diagnostic imagings showed hypoplasia of the intrahepatic portal venous system and splanchnic portal venous return to the inferior vena cava through aberrant vessels. Altered hepatic blood flow dynamics due to this shunt may have been implicated in the etiology of the hepatic hyperplastic nodules.
Yonemitsu
H
H
Third Department of Internal Medicine, Oita Medical University, Hasama-machi, Oita 879-5593, Japan.
Mori
H
H
Kimura
T
T
Kagawa
K
K
Tsuda
T
T
Yamada
Y
Y
Kiyosue
H
H
Matsumoto
S
S
D000293:Adolescent; D005260:Female; D020518:Focal Nodular Hyperplasia / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007566:Jaundice, Chronic Idiopathic / Q000150:complications / Q000000981:diagnostic imaging*; D008102:Liver Circulation; D008642:Mesenteric Veins / Q000002:abnormalities / Q000000981:diagnostic imaging; D011169:Portal Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013162:Splenic Vein / Q000002:abnormalities / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000002:abnormalities* / Q000000981:diagnostic imaging