scholarly journals Case Report: Hepatic Adenoma in a Child With a Congenital Extrahepatic Portosystemic Shunt

2020 ◽  
Vol 8 ◽  
Author(s):  
Hannah Glonnegger ◽  
Maren Schulze ◽  
Simone Kathemann ◽  
Sebastian Berg ◽  
Hannah Füllgraf ◽  
...  
Keyword(s):  
Case Report ◽  
Portosystemic Shunt ◽  
Hepatic Adenoma ◽  
Congenital Extrahepatic Portosystemic Shunt

Case report: Portal-systemic encephalopathy due to a congenital extrahepatic portosystemic shunt

1996 ◽  
Vol 11 (7) ◽  
pp. 626-629 ◽  
Author(s):  
MASATO KIRIYAMA ◽  
SHIGEKI TAKASHIMA ◽  
HIROYUKI SAHARA ◽  
YOSHIYUKI KUROSAKA ◽  
MASAHIRO MATSUSHITA ◽  
...  
Keyword(s):  
Case Report ◽  
Portosystemic Shunt ◽  
Portal Systemic Encephalopathy ◽  
Congenital Extrahepatic Portosystemic Shunt

Abernethy Malformation – a Rare but Important Diagnosis Prior to Liver-Directed Therapy for Hepatocellular Carcinoma

2019 ◽  
Vol 3 ◽  
pp. 9
Author(s):  
Nainesh Parikh ◽  
Kun Jiang ◽  
Kim Truong
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Portal Vein ◽  
Portosystemic Shunt ◽  
Left Hepatic Lobe ◽  
Abernethy Malformation ◽  
Hepatic Lobe ◽  
Portosystemic Shunts ◽  
Congenital Extrahepatic Portosystemic Shunt ◽  
The Right

A 45-year-old man with incidentally discovered, unresectable HCC were treated with TACE to the left hepatic lobe and TARE to the right hepatic lobe. Upon retrospective review, he was found to have a congenital extrahepatic portosystemic shunt with the absence of the portal vein (Abernethy malformation). This case report discusses variant splanchnic and portal anatomy in the setting of rare, congenital portosystemic shunts and evaluates types of liver-directed therapies for HCC in this setting.

Long‐term outcome of liver transplantation for congenital extrahepatic portosystemic shunt

2021 ◽  
Author(s):  
Valérie McLin ◽  
Maurice Beghetti ◽  
Lorenzo D’Antiga ◽  
Stéphanie Franchi‐Abella ◽  
Keyword(s):  
Liver Transplantation ◽  
Portosystemic Shunt ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Congenital Extrahepatic Portosystemic Shunt

scholarly journals Liver failure after huge portosystemic shunt occlusion by balloon-occluded retrograde transvenous obliteration: A case report

Kanzo ◽  
2021 ◽  
Vol 62 (12) ◽  
pp. 800-805
Author(s):  
Nana Yazawa ◽  
Takayuki Shimizu ◽  
Yuhki Sakuraoka ◽  
Yukihiro Iso ◽  
Taku Aoki ◽  
...  
Keyword(s):  
Case Report ◽  
Liver Failure ◽  
Portosystemic Shunt ◽  
Shunt Occlusion

scholarly journals Clinical and laboratory outcome after surgical treatment of single congenital extrahepatic portosystemic shunt using ameroid constrictor in 25 dogs

2020 ◽  
Vol 89 (4) ◽  
pp. 357-365
Author(s):  
Andrea Nečasová ◽  
Jana Lorenzová ◽  
Ladislav Stehlík ◽  
Pavel Proks ◽  
Zita Filipejová ◽  
...  
Keyword(s):  
Bile Acid ◽  
Surgical Treatment ◽  
Clinical Outcome ◽  
Acid Concentration ◽  
Ammonia Concentration ◽  
Portosystemic Shunt ◽  
Stimulation Test ◽  
Bile Acid Concentration ◽  
Congenital Extrahepatic Portosystemic Shunt

The objective of the study was to evaluate the clinical and laboratory outcome after the surgical treatment of a single congenital extrahepatic portosystemic shunt using an ameroid constrictor. Patient medical records were reviewed in retrospect. Data on the signalment, clinical signs, preoperative bile acid stimulation test and ammonia concentration were recorded. The surgical treatment success rate was evaluated by mortality in the perioperative and short-term postoperative period and by the long-term clinical outcome. Bile acid stimulation test and ammonia concentration were also analysed 2–3 days, 4–6 weeks, and 6–8 weeks postoperatively. No patient died in the selected periods. The long-term clinical outcome was excellent in 15 out of 20 patients, good in 3 out of 20 patients and poor in 2 out of 20 patients. Preprandial bile acid concentration was elevated in 96.00%, postprandial bile acid concentration in 100.00% and ammonia concentration in 80.95% of patients preoperatively. A significant decrease was found in postprandial bile acid and ammonia 2–3 days postoperatively and in preprandial bile acid 4–6 weeks postoperatively. A significant decrease in liver function parameters in days post operation indicates a rapid restoration of hepatic function. The surgical treatment of a single extrahepatic portosystemic shunt using an ameroid constrictor is a successful method of treatment for this type of portosystemic shunt, with as much as 75.00% of the patients having an excellent long-term clinical outcome.

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