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.
© 2017 Wiley Periodicals, Inc.
MeSH terms
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Carcinoma, Hepatocellular / complications
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Carcinoma, Hepatocellular / diagnostic imaging
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Carcinoma, Hepatocellular / physiopathology*
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Collateral Circulation / physiology*
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Fatal Outcome
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Hepatic Encephalopathy / complications
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Hepatic Encephalopathy / diagnostic imaging
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Hepatic Encephalopathy / physiopathology
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Humans
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Hypertension, Portal / complications
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Hypertension, Portal / diagnostic imaging
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Hypertension, Portal / physiopathology
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Liver Cirrhosis / complications
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Liver Cirrhosis / diagnostic imaging
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Liver Cirrhosis / physiopathology
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Liver Neoplasms / complications
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Liver Neoplasms / diagnostic imaging
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Liver Neoplasms / physiopathology*
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Male
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Middle Aged
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Portal Vein / diagnostic imaging
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Portal Vein / physiopathology*
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Renal Veins / diagnostic imaging
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Renal Veins / physiopathology*
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Tomography, X-Ray Computed / methods
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Ultrasonography / methods