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.
Similar content being viewed by others
References
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
RJ Groszmann R de Franchis (1999) Portal hypertension ER Schiff L Schiff (Eds) Diseases of the liver Lippincott-Raven Philadelphia 387–442
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
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
RB Jeffrey SuffixJr PW Ralls (1995) The liver RB Jeffrey SuffixJr PW Ralls (Eds) Sonography of the abdomen Raven Press New York 171–8
FS Weill (1996) Cirrhosis and portal hypertension FS Weill (Eds) Ultrasound diagnosis of digestive disease Springer New York 191–226
K Okuda Y Kondo (1995) Primary carcinoma of the liver WS Haubrich F Schaffner JEB Berk (Eds) Gastroenterology WB Saunders Philadelphia 2444–87
K Takayasu K Okuda (1997) Malignant hepatic tumors K Takayasu K Okuda (Eds) Imaging in liver diseases Oxford University Press Oxford 104–298
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
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
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
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s10396-006-0094-y