Abstract
Congenital absence of the portal vein complicated by hepatocellular carcinoma in the liver of an adult woman: review of imaging, literature and management
Highlights
The adult liver has a complex vascular architecture composed of two distinct circulatory systems
The portal vein (PV) is subdivided into right and left branches, which form small vessels throughout the liver that eventually drain into the sinus venosus[1]
Type 2 portocaval shunts may develop due to persistence of the right vitelline vein, where the shunt drains into the retrohepatic inferior vena cava (IVC), or the left vitelline vein, where the shunt drains into the suprahepatic IVC or right atrium[2]
Summary
The adult liver has a complex vascular architecture composed of two distinct circulatory systems. In this report we will review a case of congenital absence of the portal vein (CAPV) in a 51-year-old woman who was diagnosed with HCC and had a history of Laennec’s cirrhosis and a type Ib Abernethy malformation. A 51-year-old female who was diagnosed in 2008 with HCC was referred to the interventional radiology clinic from the liver transplant service.
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