Valls E, Ceres L, Urbaneja A, Muñoz R, Alonso I
Department of Radiology, Hospital Materno-Infantil, Complejo Hospitalario Carlos Haya, Arroyo de Los Angeles s/n, Málaga 29007, Spain.
J Clin Ultrasound. 2000 Jan;28(1):42-6. doi: 10.1002/(sici)1097-0096(200001)28:1<42::aid-jcu7>3.0.co;2-c.
Intrahepatic portosystemic shunts are infrequent in children. We report 3 cases of neonates who presented with jaundice during the first month of life. Color Doppler sonography in the first 2 cases showed direct communication between the right portal and hepatic veins. Both infants were asymptomatic, and the shunts disappeared spontaneously. The third case involved several shunts and an aberrant medial portal vein. This patient developed heart failure and died after surgery. Color Doppler sonography was useful in the diagnosis and follow-up of the shunts in all 3 cases.
肝内门体分流在儿童中并不常见。我们报告3例在出生后第一个月出现黄疸的新生儿病例。前2例的彩色多普勒超声显示右门静脉与肝静脉直接相通。两名婴儿均无症状，分流自行消失。第三例有多处分流及一条异常的门静脉内侧支。该患者出现心力衰竭，术后死亡。彩色多普勒超声对所有3例分流的诊断及随访均有帮助。
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