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Portal-systemic shunt through the right renal vein developing following portal tumor thrombus

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Abstract

Despite the semi-routine use of color Doppler sonography for evaluating portal circulation abnormalities, there is a relative paucity of information on portal-systemic (P-S) shunt through the right renal vein (P-SR shunt). We report such a case. The patient was a 60-year-old woman with hepatocellular carcinoma on liver cirrhosis. Serial sonography showed an aggravation in findings; an increase in the size of the tumor was followed by formation of a portal tumor thrombus, and then occurrence of a P-SR shunt. We present this case, with a comparison between the patient's clinical course and the color Doppler results. To our knowledge, this is the first report to make such a comparison in a P-SR shunt case. We also briefly review the literature.

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References

  1. S Sherlock J Dooley (1997) The portal venous system and portal hypertension S Sherlock J Dooley (Eds) Diseases of the liver and biliary system Blackwell Scientific Publications London 135–81

    Google Scholar 

  2. RJ Groszmann R de Franchis (1999) Portal hypertension ER Schiff L Schiff (Eds) Diseases of the liver Lippincott-Raven Philadelphia 387–442

    Google Scholar 

  3. H Kikuchi M Noguchi H Akashi et al. (2001) ArticleTitleSpontaneous shunt between the superior mesenteric vein and the right renal vein caused by portal hypertension J Urol 165 1615–6 Occurrence Handle11342930 Occurrence Handle1:STN:280:DC%2BD3M3ovVOhtQ%3D%3D Occurrence Handle10.1016/S0022-5347(05)66361-6

    Article  PubMed  CAS  Google Scholar 

  4. RF McLoughlin SM Dashefsky PL Cooperberg et al. (1995) ArticleTitleSpontaneous portal-right renal vein shunt in portal hypertension J Ultrasound Med 14 959–61 Occurrence Handle8583532 Occurrence Handle1:STN:280:BymC283mt1E%3D

    PubMed  CAS  Google Scholar 

  5. RB Jeffrey SuffixJr PW Ralls (1995) The liver RB Jeffrey SuffixJr PW Ralls (Eds) Sonography of the abdomen Raven Press New York 171–8

    Google Scholar 

  6. FS Weill (1996) Cirrhosis and portal hypertension FS Weill (Eds) Ultrasound diagnosis of digestive disease Springer New York 191–226

    Google Scholar 

  7. K Okuda Y Kondo (1995) Primary carcinoma of the liver WS Haubrich F Schaffner JEB Berk (Eds) Gastroenterology WB Saunders Philadelphia 2444–87

    Google Scholar 

  8. K Takayasu K Okuda (1997) Malignant hepatic tumors K Takayasu K Okuda (Eds) Imaging in liver diseases Oxford University Press Oxford 104–298

    Google Scholar 

  9. K Konno H Ishida A Uno et al. (1996) ArticleTitleCavernous transformation of the portal vein (CTPV): role of color Doppler sonography in the diagnosis Eur J Ultrasound 3 231–40 Occurrence Handle10.1016/0929-8266(95)00154-9

    Article  Google Scholar 

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Correspondence to Hitoshi Yagisawa.

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Yagisawa, H., Ishida, H., Komatsuda, T. et al. Portal-systemic shunt through the right renal vein developing following portal tumor thrombus. J Med Ultrasonics 33, 181–184 (2006). https://doi.org/10.1007/s10396-006-0094-y

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  • DOI: https://doi.org/10.1007/s10396-006-0094-y

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