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Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report

Portal vein aneurysms (PVA) and intrahepatic portosystemic venous shunts are rarely diagnosed clinically. PATIENT CONCERNS: A 75-year-old female was admitted to our hospital for evaluation of significant weight loss, diabetes, and an irregularly shaped cystic lesion in the left lateral lobe of the l...

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Autores principales: Liu, Xin, Liu, Bingmu, Guo, Liqun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9478322/
https://www.ncbi.nlm.nih.gov/pubmed/36123884
http://dx.doi.org/10.1097/MD.0000000000030475
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author Liu, Xin
Liu, Bingmu
Guo, Liqun
author_facet Liu, Xin
Liu, Bingmu
Guo, Liqun
author_sort Liu, Xin
collection PubMed
description Portal vein aneurysms (PVA) and intrahepatic portosystemic venous shunts are rarely diagnosed clinically. PATIENT CONCERNS: A 75-year-old female was admitted to our hospital for evaluation of significant weight loss, diabetes, and an irregularly shaped cystic lesion in the left lateral lobe of the liver. DIAGNOSIS: The patient was diagnosed with a portal vein aneurysm combined with an intrahepatic portosystemic venous shunt using multiple imaging techniques. INTERVENTIONS: The patient had no relevant clinical symptoms of PVA with concurrent intrahepatic portosystemic venous shunt; hence, no interventions were performed. Ultrasonography was suggested to be performed every 3 months. OUTCOMES: The patient did not visit the hospital after discharge; however, 4 telephonic follow-up evaluations showed that the patient was well. LESSONS: Multimodal imaging techniques should be used to evaluate the source of blood flow, presence or absence of shunts, and the course, number, and location of the shunts to prevent misdiagnosis of this disease.
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spelling pubmed-94783222022-09-19 Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report Liu, Xin Liu, Bingmu Guo, Liqun Medicine (Baltimore) Research Article Portal vein aneurysms (PVA) and intrahepatic portosystemic venous shunts are rarely diagnosed clinically. PATIENT CONCERNS: A 75-year-old female was admitted to our hospital for evaluation of significant weight loss, diabetes, and an irregularly shaped cystic lesion in the left lateral lobe of the liver. DIAGNOSIS: The patient was diagnosed with a portal vein aneurysm combined with an intrahepatic portosystemic venous shunt using multiple imaging techniques. INTERVENTIONS: The patient had no relevant clinical symptoms of PVA with concurrent intrahepatic portosystemic venous shunt; hence, no interventions were performed. Ultrasonography was suggested to be performed every 3 months. OUTCOMES: The patient did not visit the hospital after discharge; however, 4 telephonic follow-up evaluations showed that the patient was well. LESSONS: Multimodal imaging techniques should be used to evaluate the source of blood flow, presence or absence of shunts, and the course, number, and location of the shunts to prevent misdiagnosis of this disease. Lippincott Williams & Wilkins 2022-09-16 /pmc/articles/PMC9478322/ /pubmed/36123884 http://dx.doi.org/10.1097/MD.0000000000030475 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Liu, Xin
Liu, Bingmu
Guo, Liqun
Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report
title Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report
title_full Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report
title_fullStr Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report
title_full_unstemmed Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report
title_short Portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: A case report
title_sort portal vein aneurysm combined with intrahepatic portosystemic venous shunt diagnosed by multimodal imaging techniques: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9478322/
https://www.ncbi.nlm.nih.gov/pubmed/36123884
http://dx.doi.org/10.1097/MD.0000000000030475
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