Portal systemic shunt between the hepatic portal vein and right renal vein in a patient with multifocal hepatocellular carcinoma: Case report.
Portal hypertension is a clinical syndrome characterized by the development of collateral circulation and portosystemic shunts, as well as ascites and hepatic encephalopathy. We present the case of a large portosystemic shunt between the hepatic portal vein and aneurysmal right renal vein in a cirrhotic 64-year-old man with thrombosis of the portal vein and hepatocellular carcinoma. This is a very rare clinical manifestation which, to our knowledge, has been described only once previously in the literature. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:524-527, 2017.
Department of Cardiology with Coronary Care Unit, County Hospital Čakovec, Čakovec 40000, I. G. Kovačića 1e, Croatia.
Mateja
M
Sabol Pušić
Division of Gastroenterology, Department of Internal Medicine, "Sestre milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Vinogradska 29, Croatia.
Ivan
I
Budimir
Division of Gastroenterology, Department of Internal Medicine, "Sestre milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Vinogradska 29, Croatia.
Zdravko
Z
Dorosulić
Department of Cardiology with Coronary Care Unit, County Hospital Čakovec, Čakovec 40000, I. G. Kovačića 1e, Croatia.
Branko
B
Ostrički
Division of Gastroenterology, Department of Internal Medicine, "Sestre milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Vinogradska 29, Croatia.
Marko
M
Nikolić
Division of Radiology, "Sestre milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Vinogradska 29, Croatia.
Gordana
G
Lovrenčić Prpić
Division of Clinical Immunology, Pulmonology, and Rheumatology, Department of Internal Medicine, "Sestre milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Vinogradska 29, Croatia.
Katherina B
KB
Sreter
D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D003097:Collateral Circulation / Q000502:physiology*; D017809:Fatal Outcome; D006501:Hepatic Encephalopathy / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology; D008103:Liver Cirrhosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology; D008113:Liver Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology*; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography / Q000379:methods
cirrhosis; hepatic encephalopathy; hepatocellular carcinoma; portal hypertension