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[A case of essential mesocaval shunt].

Authors
  • Morita, Y
  • Hiromura, T
  • Meguro, J
  • Yonekawa, M
  • Kawamura, A
  • Kasai, M
Type
Published Article
Journal
Rinsho hoshasen. Clinical radiography
Publication Date
May 01, 1989
Volume
34
Issue
5
Pages
633–636
Identifiers
PMID: 2746959
Source
Medline
License
Unknown

Abstract

Essential mesocaval shunt is very rare entity. A case of chronic cholecystitis with mesocaval shunt from the branch of superior mesenteric vein was reported. This rare hepatofugal pathway was clearly demonstrated by percutaneous transhepatic portography. Selective middle colic venography showed that the branch of this vein was directly connected to the inferior vena cava. After ligation and resection of the shunt, the level of patient's blood ammonia was decreased and the pressure of portal vein was increased. This rare case indicate that the possibility of early diagnosis and interventional radiology for +hepatic encephalopathy.

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