Radiology Case Reports, Vol 4, No 1 (2009)

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Asymptomatic Congenital Intrahepatic Portosystemic Shunt

Karen M. Brown, Hassan Hal

Abstract


Congenital (spontaneous) intrahepatic portosystemic shunt is a rare entity. Most cases of portosystemic shunt occur after trauma, surgery, liver biopsy or as a result of chronic portal hypertension. Chronic shunting may result in encephalopathy, bleeding or hyperinsulinism. We report a case of an asymptomatic adult female with a presumed congenital intrahepatic portosystemic shunt and discuss the pertinent imaging findings and important key concepts related to this condition.

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