Mayayo Sinués E, Lidón Lorente M C, Fuentes Olmo J, Yagüe Romeo D, Soriano Guillén A, Uribarrena Amezaga R
Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Gastroenterol Hepatol. 2004 Nov;27(9):525-8. doi: 10.1016/s0210-5705(03)70520-2.
Intrahepatic portosystemic venous shunts not related to trauma or biopsy are infrequent and their etiology is controversial. A congenital or acquired origin due to cirrhosis and portal hypertension has been proposed. Hepatic encephalopathy is present when there is associated cirrhosis. We describe a case of aneurysmal portohepatic venous fistula that was incidentally diagnosed with conventional ultrasonography and was subsequently confirmed by Doppler ultrasonography and computed tomography scan. Because there were no symptoms of encephalopathy, no surgical or vascular percutaneous treatment was provided.
与创伤或活检无关的肝内门体静脉分流并不常见,其病因存在争议。有人提出其起源为先天性或由肝硬化和门静脉高压所致的后天性。当合并肝硬化时会出现肝性脑病。我们描述了一例动脉瘤样肝门静脉瘘病例,该病例通过传统超声偶然诊断,随后经多普勒超声和计算机断层扫描得以证实。由于没有脑病症状,未给予手术或血管介入治疗。