title: [Idiopathic intrahepatic portosytemic shunts in 4 children].
abstract: Intrahepatic portosystemic anastomoses are macroscopic communications between the venous portal system and the systemic circulation and located partly in the liver. We report 4 new cases of type II shunts, which illustrate the circumstances of the diagnosis of these exceptional anomalies. For 2 children, the diagnosis was done antenataly by US and spontaneous involution in a few months was observed. In the third case the malformation was evidenced fortuitously at 3 weeks of life, and this 6-year-old child remains completely asymptomatic so far. Then, in the fourth case, a cerebral venous thrombosis was fortuitously and antenatally evidenced in an otherwise uneventful pregnancy and portosystemic shunt was demonstrated postnataly in the extensive work up of the neonate.
authors.affiliation: Service de pédiatrie, Hôtel-Dieu, CHU de Clermont-Ferrand, France.
authors.forename: F
authors.initials: F
authors.lastname: Rouveyrol
authors.forename: M
authors.initials: M
authors.lastname: Meyer
authors.forename: J R
authors.initials: JR
authors.lastname: Lusson
authors.forename: C
authors.initials: C
authors.lastname: Dauphin
authors.forename: P
authors.initials: P
authors.lastname: Vanlieferinghen
authors.forename: P
authors.initials: P
authors.lastname: Déchelotte
authors.forename: H
authors.initials: H
authors.lastname: Laurichesse
authors.forename: L
authors.initials: L
authors.lastname: Guibaud
authors.forename: P
authors.initials: P
authors.lastname: Pracros
authors.forename: D
authors.initials: D
authors.lastname: Campagne
authors.forename: F
authors.initials: F
authors.lastname: Gaspard
authors.forename: A
authors.initials: A
authors.lastname: Lachaux
authors.forename: J-L
authors.initials: JL
authors.lastname: Stéphan
mesh_terms: D005500:Follow-Up Studies; D006503:Hepatic Veins / Q000002:abnormalities*; D006801:Humans; D007231:Infant, Newborn; D020767:Intracranial Thrombosis / Q000150:complications / Q000175:diagnosis; D008297:Male; D011168:Portal System / Q000002:abnormalities*; D011169:Portal Vein / Q000002:abnormalities*; D013997:Time Factors; D016216:Ultrasonography, Prenatal; D016157:Vascular Fistula / Q000150:complications