Table 1.
Etiology | Intrahepatic portosystemic shunts can be acquired (secondary to cirrhosis, trauma, or biopsy procedure) or congenital. |
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Incidence | Age of presentation young to middle age. |
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Gender | Both males and females are affected. |
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Treatment | Endovascular treatment (occlusion with coil or Amplatzer vascular plug), surgical ligation, or resection. |
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Prognosis | May be asymptomatic. Can resolve spontaneously. If symptomatic, there is good prognosis with treatment. |
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Findings on imaging | Doppler US: presence of vascular structures connecting a portal branch to a hepatic vein with or without aneurysm formation. Undulating triphasic waveform pattern in the portal vein similar to hepatic waveform. |
CT/MRI with contrast: presence of vascular structures connecting a portal branch to a hepatic vein with or without aneurysm formation. |