Euroasian Journal of Hepato-Gastroenterology

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VOLUME 7 , ISSUE 2 ( July-December, 2017 ) > List of Articles

CASE REPORT

Aneurysm of Portosystemic Fistula: A Case Report and Review of Literature

Sila Ulus, Gulhan Ertan Akan, Cengiz Erol

Citation Information : Ulus S, Akan GE, Erol C. Aneurysm of Portosystemic Fistula: A Case Report and Review of Literature. Euroasian J Hepatogastroenterol 2017; 7 (2):178-180.

DOI: 10.5005/jp-journals-10018-1243

License: CC BY 3.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

A case of asymptomatic aneurysm of spontaneous portosystemic venous fistula (SPVF) with the radiologic findings is described.

Background

Although advances and more widespread use of ultrasound (US) and computed tomography angiography (CTA) have enabled more detection of SPVF in the liver, it is a rare entity.

Case report

A 49-year-old male was referred to our hospital's nephrology outpatient clinic due to hypertension. Abdominal sonography examination detected a well-defined cystic lesion adjacent to the middle hepatic vein in the liver. The lesion showed venous flow in the color Doppler US examination. Computed tomography angiography examination revealed an aneurysm of the fistula.

Conclusion

Radiologists should be aware of this vascular anomaly and cyst-like lesions in the liver should be examined with color Doppler ultrasonography for possible vascularization, and be differentiated with CTA if necessary.

Clinical significance

This condition is usually encountered incidentally and patients usually have no symptoms. However, severe complications, such as hepatopulmonary syndrome, liver tumors, encephalopathy, and heart failure can be seen.

How to cite this article

Ulus S, Akan GE, Erol C. Aneurysm of Portosystemic Fistula: A Case Report and Review of Literature. Euroasian J Hepato-Gastroenterol 2017;7(2):178-180.


  1. Asymptomatic aneurysmal portosystemic venous shunt: a case report and review of the literature. Acta Medica (Hradec Kralove) 2006;49:241-244.
  2. Intrahepatic portosystemic venous shunt. Am J Roentgenol 1990 Sep;155(3):527-528.
  3. Diagnosis and follow-up of congenital intrahepatic portosystemic venous shunt by ultrasounds. Acta Paediatr 2001 Oct;90(10):1209-1210.
  4. Intrahepatic portosystemic venous shunt: occurrence in patients with and without liver cirrhosis. AJR Am J Roentgenol 1987 Oct;149(4):711-714.
  5. Intrahepatic portosystemic venous shunt: diagnosis by color Doppler imaging. Am J Gastroenterol 1993 May;88(5):723-729.
  6. Spontaneous intrahepatic vascular shunts. AJR Am J Roentgenol 2000 Jan;174:125-131.
  7. Congenital intrahepatic portosystemic venous shunt: treatment with coil embolization. Pediatr Radiol 2000 May;30(5):336-338.
  8. Therapeutic embolization of intrahepatic portosytemic shunts by retrograde transcaval catheterization. Cardiovasc Intervent Radiol 1993 Jul-Aug;16(4):245-247.
  9. Symptomatic intrahepatic portosystemic venous shunt: embolization with an alternative approach. AJR Am J Roentgenol 2003 Jul;181(1):71-78.
  10. Spontaneous intrahepatic portosystemic venous shunt in a patient with cirrhosis: diagnosis by combined color Doppler and pulse Doppler ultrasonography. Liver 1997 Dec;17(6):307-310.
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