Agarwal Rohit, Prasad Durga, Chauhan Gaurav, Verma Abhai
Interventional Radiology, Medanta Medicity, Lucknow, IND.
Pediatric Gastroenterology, Medanta Medicity, Lucknow, IND.
Cureus. 2023 Jan 8;15(1):e33519. doi: 10.7759/cureus.33519. eCollection 2023 Jan.
Abernethy malformation is an extrahepatic congenital portosystemic shunt characterized by the diversion of the portal blood away from the liver through a shunt that drains directly into the inferior vena cava. We present a case of a male child with Abernethy malformation, which was initially diagnosed as cyanotic heart disease due to pulmonary arteriovenous malformation. However, after proper clinical evaluation and investigations, the diagnosis of Abernethy malformation was established. Thereafter, the patient was successfully treated with endovascular embolization. At one year follow-up, marked relief in exertional dyspnea and improvement in physical growth was achieved with no observable complications.
阿伯内西畸形是一种肝外先天性门体分流，其特征是门静脉血通过直接引流至下腔静脉的分流从肝脏分流。我们报告一例患有阿伯内西畸形的男童病例，该患儿最初因肺动静脉畸形被诊断为青紫型心脏病。然而，经过适当的临床评估和检查后，确诊为阿伯内西畸形。此后，患者通过血管内栓塞术成功治愈。在一年的随访中，劳力性呼吸困难明显缓解，身体生长状况改善，未观察到并发症。
