title: Asymptomatic Intrahepatic Portosystemic Venous Shunt: To Treat or Not To Treat?
abstract: Intrahepatic portosystemic venous shunts (IPSVSs) are rare vascular malformations. They can be asymptomatic or present with various symptoms including encephalopathy. We present two cases of IPSVS, one involving a patient presenting with altered mental status and the other discovered incidentally. While there is no question that patients presenting with symptomatic IPSVS should undergo definitive treatment, there is no consensus regarding elective therapy for asymptomatic lesions.
authors: Radiology Department, North Shore-LIJ Health System, New Hyde Park, New York.
authors: Arkadiy
authors: A
authors: Palvanov
authors: University of Michigan, Ann Arbor, Michigan.
authors: Ruth Leah
authors: RL
authors: Marder
authors: Radiology Department, North Shore-LIJ Health System, New Hyde Park, New York.
authors: David
authors: D
authors: Siegel
keywords: acquired portal vein malformations; congenital portal vein malformations; encephalopathy; intrahepatic portosystemic venous shunt; portal vein; ultrasound; venous malformation; venous shunt