Abstract
A spontaneous portosystemic shunt is a rare malformation of the liver vessels. The etiology of these shunts is controversial. They can be divided into acquired (most commonly associated with liver cirrhosis) and congenital. Vascular shunts are asymptomatic in the majority of the patients, and when symptomatic were presented by severe complications. The specific way of management can be selected depended on whether the patient was symptomatic or not, and also on the size of the shunt, shunt ratio and whether it was associated with cancer. We will present a clinical case and discuss the importance of the radiological imaging in the screening, diagnosis and follow up of these anomalies.
Highlights
A spontaneous portosystemic shunt is a rare malformation of the hepatic vascularization involving the arterial, portal or hepatic venous systems [1] [2].The etiology of these shunts is controversial
A spontaneous portosystemic shunt is a rare malformation of the liver vessels
Congenital intrahepatic portosystemic venous shunt probably results from abnormal embryonic development by the fourth week of fetal life, by the persistence of communications between the portal and vitelline venous systems [5] [6]
Summary
A spontaneous portosystemic shunt is a rare malformation of the hepatic vascularization involving the arterial, portal or hepatic venous systems [1] [2]. The etiology of these shunts is controversial. Radiological imaging plays a very important role in the screening, diagnosis and follow-up of these anomalies. Through this clinical case, we will discuss the various radiological aspects of the intrahepatic shunts
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