Portal systemic shunt between the hepatic portal vein and right renal vein in a patient with multifocal hepatocellular carcinoma: Case report

J Clin Ultrasound. 2017 Oct;45(8):524-527. doi: 10.1002/jcu.22437. Epub 2017 Feb 2.

Abstract

Portal hypertension is a clinical syndrome characterized by the development of collateral circulation and portosystemic shunts, as well as ascites and hepatic encephalopathy. We present the case of a large portosystemic shunt between the hepatic portal vein and aneurysmal right renal vein in a cirrhotic 64-year-old man with thrombosis of the portal vein and hepatocellular carcinoma. This is a very rare clinical manifestation which, to our knowledge, has been described only once previously in the literature. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:524-527, 2017.

Keywords: cirrhosis; hepatic encephalopathy; hepatocellular carcinoma; portal hypertension.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / diagnostic imaging
  • Carcinoma, Hepatocellular / physiopathology*
  • Collateral Circulation / physiology*
  • Fatal Outcome
  • Hepatic Encephalopathy / complications
  • Hepatic Encephalopathy / diagnostic imaging
  • Hepatic Encephalopathy / physiopathology
  • Humans
  • Hypertension, Portal / complications
  • Hypertension, Portal / diagnostic imaging
  • Hypertension, Portal / physiopathology
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / diagnostic imaging
  • Liver Cirrhosis / physiopathology
  • Liver Neoplasms / complications
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / physiopathology*
  • Male
  • Middle Aged
  • Portal Vein / diagnostic imaging
  • Portal Vein / physiopathology*
  • Renal Veins / diagnostic imaging
  • Renal Veins / physiopathology*
  • Tomography, X-Ray Computed / methods
  • Ultrasonography / methods