1. Malformación de Abernethy: shunt portosistémico congénito
- Author
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Juan Beltran de Heredia, Fernanda Benavides de la Rosa, Juan García-Castaño Gandiaga, and Iñigo López de Cenarruzabeitia
- Subjects
Abdominal pain ,medicine.diagnostic_test ,business.industry ,Abdominal ct ,Portal vein ,Physical examination ,Shunt (medical) ,Vomiting ,Medicine ,Inferior mesenteric vein ,Liquid stools ,Surgery ,medicine.symptom ,business ,Nuclear medicine - Abstract
A 20-year-old patient came to our emergency department due to abdominal pain that had been progressing over the previous 72 h in association with vomiting and liquid stools. Physical examination and lab work showed no significant alterations. Abdominal CT, MRI (Fig. 1) and liver ultrasound identified a large varicose dilatation of the inferior mesenteric vein (IMV) with a mesenterichypogastric shunt. The IMV (Fig. 1) showed inverted flow and there were no intraor extrahepatic portal branches. Abernethy malformation is the congenital absence of the portal vein with secondary caval-mesenteric shunt. There are 2 types: type I, which is an end-to-side shunt (total absence of intrahepatic portal flow); and type II, which is a side-to-side shunt (partially preserved portal flow). Diagnosis: Abernethy malformation. c i r e s p . 2 0 1 5 ; 9 3 ( 3 ) : e 1 7
- Published
- 2015