Korean J Radiol.  2010 Oct;11(5):583-586. 10.3348/kjr.2010.11.5.583.

Congenital Intrahepatic Portosystemic Venous Shunt and Liver Mass in a Child Patient: Successful Endovascular Treatment with an Amplatzer Vascular Plug (AVP)

• Lee SA
• Lee YS
• Lee KS
• Jeon GS

• KMID: 1102587
• DOI: http://doi.org/10.3348/kjr.2010.11.5.583

Abstract

A congenital intrahepatic portosystemic shunt is a rare anomaly; but, the number of diagnosed cases has increased with advanced imaging tools. Symptomatic portosystemic shunts, especially those that include hyperammonemia, should be treated; and various endovascular treatment methods other than surgery have been reported. Hepatic masses with either an intra- or extrahepatic shunt also have been reported, and the mass is another reason for treatment. Authors report a case of a congenital intrahepatic portosystemic shunt with a hepatic mass that was successfully treated using a percutaneous endovascular approach with vascular plugs. By the time the first short-term follow-up was conducted, the hepatic mass had disappeared.

Keyword

Portosystemic shunt, surgical; Liver neoplasm; Radiology, interventional

MeSH Terms

Child
Diagnosis, Differential
Hepatic Encephalopathy/*congenital/diagnosis/therapy
Humans
Liver Neoplasms/*congenital/diagnosis/therapy
Male
Portal Vein/*abnormalities
*Septal Occluder Device
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color
Ultrasonography, Interventional