Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review

We present a case of isolated intrahepatic portosystemic shunts with an aorto- hepatic-umbilical connection; prenatally diagnosed with 3D Doppler flow in a 27-year-old patient at 27 weeks of gestation. Fetal karyotyping was normal, detailed evaluation of the venous and cardiovascular system showed a...

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Autores principales: Van Houdt, Maxime, van der Merwe, Johannes, Gewillig, Marc, De Catte, Luc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995476/
https://www.ncbi.nlm.nih.gov/pubmed/33796163
http://dx.doi.org/10.1016/j.radcr.2021.02.037
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author Van Houdt, Maxime
van der Merwe, Johannes
Gewillig, Marc
De Catte, Luc
author_facet Van Houdt, Maxime
van der Merwe, Johannes
Gewillig, Marc
De Catte, Luc
author_sort Van Houdt, Maxime
collection PubMed
description We present a case of isolated intrahepatic portosystemic shunts with an aorto- hepatic-umbilical connection; prenatally diagnosed with 3D Doppler flow in a 27-year-old patient at 27 weeks of gestation. Fetal karyotyping was normal, detailed evaluation of the venous and cardiovascular system showed a patent ductus venosus and no other abnormalities. These fetuses with isolated intrahepatic shunts are at risk for intra-uterine growth restriction (27%), all cases had a good prognosis with live births. Postnatal follow-up to control shunt closure is vital as persistent shunts may lead to subsequent complications.
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spelling pubmed-79954762021-03-31 Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review Van Houdt, Maxime van der Merwe, Johannes Gewillig, Marc De Catte, Luc Radiol Case Rep Case Report We present a case of isolated intrahepatic portosystemic shunts with an aorto- hepatic-umbilical connection; prenatally diagnosed with 3D Doppler flow in a 27-year-old patient at 27 weeks of gestation. Fetal karyotyping was normal, detailed evaluation of the venous and cardiovascular system showed a patent ductus venosus and no other abnormalities. These fetuses with isolated intrahepatic shunts are at risk for intra-uterine growth restriction (27%), all cases had a good prognosis with live births. Postnatal follow-up to control shunt closure is vital as persistent shunts may lead to subsequent complications. Elsevier 2021-03-16 /pmc/articles/PMC7995476/ /pubmed/33796163 http://dx.doi.org/10.1016/j.radcr.2021.02.037 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Van Houdt, Maxime
van der Merwe, Johannes
Gewillig, Marc
De Catte, Luc
Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review
title Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review
title_full Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review
title_fullStr Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review
title_full_unstemmed Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review
title_short Prenatal 3D-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: A case report and literature review
title_sort prenatal 3d-ultrasound diagnosis of isolated intrahepatic portal-systemic shunt with intact ductus venosus: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7995476/
https://www.ncbi.nlm.nih.gov/pubmed/33796163
http://dx.doi.org/10.1016/j.radcr.2021.02.037
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