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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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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



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  		Figure 1. Transaxial images of single-detector row CT with contrast materials showed an abnormal dilated vessel (solid arrow) extending from the peripheral posterosuperior portal vein to outside the liver, but they failed to show where the dilated vessel drained.

 


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  		Figure 2. Digital subtraction portography after superior mesenteric arteriography shows the left posterosuperior portal vein branch dilated in the periphery (solid arrow), and forming a loop caudally (open arrow), but it failed to show the portosystemic shunt itself.

 


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  		Figure 3. Transaxial images of multidetector row CT demonstrate the peripherally dilated left posterosuperior portal vein branch, (a) penetrating the liver surface posteriorly (solid arrow) and (a, b) draining into the left renal vein (open arrow).

 


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  		Figure 4. Anteroposterior view images reconstructed from multidetector row CT during arterial portography by maximum intensity projection techniques, demonstrating almost the entire pathway of the IPSVS. The draining vein passes through the left inferior phrenic vein (solid arrow).

 




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