Intrahepatic portosystemic venous shunt passing through the left inferior phrenic vein and draining into the left renal vein.
We report a case of an intrahepatic portosystemic venous shunt (IPSVS) passing through the left inferior phrenic vein and draining into the left renal vein and then to the inferior vena cava. We incidentally detected the IPSVS while performing a transcatheter arterial embolisation for the treatment of hepatocellular carcinoma. IPSVS with the left inferior phrenic vein as the draining vein is very rare. The complete pathway of this IPSVS could be clearly demonstrated by multidetector row CT during arterial portography.
Hirota
T
T
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo, Kyoto 602-8566, Japan.
Yamagami
T
T
Matsumoto
T
T
Seo
H
H
Tanaka
O
O
Iida
S
S
Kato
T
T
Nishimura
T
T
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000628:therapy; D004621:Embolization, Therapeutic / Q000379:methods; D006503:Hepatic Veins / Q000002:abnormalities*; D006801:Humans; D033162:Incidental Findings; D008113:Liver Neoplasms / Q000628:therapy; D008297:Male; D012082:Renal Veins / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016157:Vascular Fistula / Q000000981:diagnostic imaging*; D014682:Vena Cava, Inferior / Q000002:abnormalities*