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British Journal of Radiology (2004) 77, 966-968
© 2004 British Institute of Radiology
doi: 10.1259/bjr/68883992

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Case report

Intrahepatic portosystemic venous shunt passing through the left inferior phrenic vein and draining into the left renal vein

T Hirota, MD, T Yamagami, MD, PhD, T Matsumoto, MD, H Seo, MD, O Tanaka, MD, PhD, S Iida, MD, PhD, T Kato, MD, PhD and T Nishimura, MD, PhD

Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo, Kyoto, 602-8566, Japan

We report a case of an intrahepatic portosystemic venous shunt (IPSVS) passing through the left inferior phrenic vein and draining into the left renal vein and then to the inferior vena cava. We incidentally detected the IPSVS while performing a transcatheter arterial embolisation for the treatment of hepatocellular carcinoma. IPSVS with the left inferior phrenic vein as the draining vein is very rare. The complete pathway of this IPSVS could be clearly demonstrated by multidetector row CT during arterial portography.




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R Yoshimatsu, Y Takeuchi, H Morishita, N Iida, H Okabe, T Yamagami, and T Nishimura
Successful embolisation of intrahepatic portosystemic venous shunt using coils and n-butyl cyanoacrylate through two approach routes.
Br. J. Radiol., November 1, 2006; 79(947): e162 - e165.
[Abstract] [Full Text] [PDF]




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