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先天性肝内门体分流:影像学表现及血管内治疗

Congenital intrahepatic portosystemic shunts: Imaging findings and endovascular management.

作者信息

Chandrasekharan Rajsekar, Pullara Sreekumar K, Thomas Tixon, Kader Nazar Puthukudiyil, Moorthy Srikanth

机构信息

Department of Radiology, Amrita Institute of Medical Sciences and Research Center, Kochi, Kerala, India.

出版信息

Indian J Radiol Imaging. 2016 Jan-Mar;26(1):92-4. doi: 10.4103/0971-3026.178349.

Abstract

We present two cases of congenital intrahepatic portosystemic shunts in which the right portal vein directly communicated with the inferior venacava (IVC) in one patient and with the hepatic vein in the other. Multiple hepatic nodules consistent with focal nodular hyperplasia (FNH) were seen in the first patient. The second patient presented with recurrent history of hepatic encephalopathy. Percutaneous transhepatic embolization was performed using coils and Amplatz device following which she completely recovered.

摘要

我们报告两例先天性肝内门体分流病例,其中一例患者右门静脉直接与下腔静脉(IVC)相通,另一例与肝静脉相通。在首例患者中可见多个符合局灶性结节性增生(FNH)的肝结节。第二例患者有反复发生肝性脑病的病史。使用弹簧圈和安普栓装置进行了经皮肝栓塞术,术后患者完全康复。

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