Intrahepatic portosystemic venous shunt: report of two cases assessed by helical computed tomography.
作者信息
Nagafuchi Y, Watanabe H, Kitahara K, Okamoto K, Hirata K, Tabaru A, Otsuki M, Nakata H, Itho H
机构信息
First Dept. of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyshu, Japan.
出版信息
Scand J Gastroenterol. 1996 Nov;31(11):1132-5. doi: 10.3109/00365529609036899.
BACKGROUND
Three-dimensional (3D) anatomic analysis was carried out, using helical computed tomography (helical CT), to evaluate its usefulness in two cases of large intrahepatic portosystemic venous shunt (IPSVS).
METHODS
Case 1, a 74-year-old man with type-C hepatitis, underwent hepatic angiography to confirm suggested IPSVS of the left hepatic lobe in 1994. Case 2, a 62-year-old woman with liver cirrhosis associated with type-B hepatitis, was hospitalized for evaluation of suspected hepatocellular carcinoma in 1994. Hepatic angiography disclosed a large IPSVS in the right hepatic lobe. Retrospective evaluation of CT showed that the size of this shunt had increased over the 5 years 3D anatomic analysis was carried out, and the shunt vessels were clearly demonstrated.
CONCLUSION
3D anatomic analysis using helical CT was less invasive and useful for evaluating large IPSVS.
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