Wei Yingli, Ye Zhiqiu, Shang Ning, Yang Chaoxiang, Liao Minyan, Pan Yunxiang
Department of Diagnosis Ultrasound, Guangdong Women and Children Hospital, Guangzhou, China.
Department of Invasive Technology, Guangdong Women and Children Hospital, Guangzhou, China.
Front Pediatr. 2021 Nov 18;9:772529. doi: 10.3389/fped.2021.772529. eCollection 2021.
Variations in the visceral vasculature are often encountered, but rarely cause clinical symptoms. We report a 12-year-old girl with portal hypertension caused by congenital variations in visceral vessels. The clinical manifestations included gastrointestinal hemorrhage and ascites. The common hepatic artery and splenic artery stem shared the same trunk from the aorta, and the common hepatic artery was directly connected with the main portal vein to form an arteriovenous fistula. In addition, the left hepatic artery and the left gastric artery shared a common trunk termed the "hepatic-gastric trunk" which originated from the anterior wall of the aorta, while the right hepatic artery originated from the superior mesenteric artery and supplied the right liver. The patient was treated with interventional embolization and remained in good condition throughout the follow-up and at the time of publication.
内脏血管系统的变异经常出现，但很少引起临床症状。我们报告一名12岁女孩，因内脏血管先天性变异导致门静脉高压。临床表现包括胃肠道出血和腹水。肝总动脉和脾动脉干从主动脉共用同一主干，肝总动脉直接与门静脉主干相连形成动静脉瘘。此外，左肝动脉和胃左动脉共用一个称为“肝胃干”的共同主干，该主干起源于主动脉前壁，而右肝动脉起源于肠系膜上动脉并供应右肝。该患者接受了介入栓塞治疗，在整个随访期间及发表时情况良好。
