Kerleau J M, Héron F, Manrique A, Janvresse A, Bourreille J
Clinique médicale, CHU de Rouen, France.
Rev Med Interne. 1995;16(8):616-8. doi: 10.1016/0248-8663(96)80761-2.
We report the discovery of a congenital intrahepatic portocaval shunt during heart failure in a 68 year-old woman, without cirrhosis or portal hypertension. She had hepatic encephalopathy. Only 17 such cases have been reported. Their physiopathology remains unclear. Reasons for late revelation are debated. Color doppler imaging is very useful for diagnosis following and treatment of these shunts. Therapeutic options are presented.
我们报告了一名68岁女性在心力衰竭期间发现先天性肝内门体分流的病例，该患者无肝硬化或门静脉高压。她患有肝性脑病。此类病例仅报告过17例。其病理生理学仍不清楚。关于发现较晚的原因存在争议。彩色多普勒成像对这些分流的诊断、随访及治疗非常有用。文中还介绍了治疗选择。
