PMC5106540_01
48-year-old woman with congenital intrahepatic portosystemic shunt. (A-D) Axial enhanced CT images demonstrate the portal vein (red arrow) and middle hepatic vein (blue arrow) with a portosystemic shunt within the medial segment of the left hepatic lobe (purple arrow). Note also a striated left nephrogram (curved green arrow).
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The vessel measured 1.4 cm at its widest diameter (Figure 1, Figure 2).
48-year-old woman with congenital intrahepatic portosystemic shunt. (A-D) Coronal enhanced CT images demonstrate branches of the portal vein (red arrow) and middle hepatic vein (blue arrow) with a portosystemic shunt within the medial segment of the left hepatic lobe (purple arrow).
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The vessel measured 1.4 cm at its widest diameter (Figure 1, Figure 2).
48-year-old woman with congenital intrahepatic portosystemic shunt. (A-D) Transverse sonographic images through the liver demonstrate hepatopedal flow through the portal vein (PV) and hepatofugal flow through the middle hepatic vein (MHV) with turbulence within a portosystemic shunt within the left hepatic lobe.
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Ultrasound evaluation of the right upper quadrant performed three years prior demonstrated a direct communication of color flow signals between the middle hepatic and portal veins within the left hepatic lobe (Fig. 3) Additionally, an enhanced abdominal CT three years prior demonstrated the same intrahepatic portosystemic shunt, unchanged in appearance or size.