1.Radiological Findings in a Case of Multiple Focal Nodular Hyperplasia Associated with Portal Vein Atresia and Portopulmonary Hypertension.
In Joon LEE ; Sook Hyang JEONG ; Jin Woo CHOI ; Hee Sun PARK ; Kyoung Ho LEE ; Haeryoung KIM
Korean Journal of Radiology 2008;9(4):386-389
We present here the radiological findings of a rare case of multiple focal nodular hyperplasia that was associated with portal vein atresia and portopulmonary hypertension in a young woman. This case illustrates and supports the pathophysiological hypotheses that were previously proposed for the coexistence of these three abnormalities.
Adult
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Female
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Focal Nodular Hyperplasia/*radiography
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Humans
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Hypertension, Portal/*complications
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Hypertension, Pulmonary/*complications
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Portal Vein/*abnormalities
2.Intrahepatic Portosystemic Venous Shunt: Successful Embolization Using the Amplatzer Vascular Plug II.
Young Ju LEE ; Byung Seok SHIN ; In Ho LEE ; Joon Young OHM ; Byung Seok LEE ; Moonsang AHN ; Ho Jun KIM
Korean Journal of Radiology 2012;13(6):827-831
A 67-year-old woman presented with memory impairment and behavioral changes. Brain MRI indicated hepatic encephalopathy. Abdominal CT scans revealed an intrahepatic portosystemic venous shunt that consisted of two shunt tracts to the aneurysmal sac that communicated directly with the right hepatic vein. The large tract was successfully occluded by embolization using the newly available AMPLATZERTM Vascular Plug II and the small tract was occluded by using coils. The patient's symptoms disappeared after shunt closure and she remained free of recurrence at the 3-month follow-up evaluation.
Aged
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Embolization, Therapeutic/*instrumentation/methods
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Female
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Hepatic Encephalopathy/etiology/*therapy
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Hepatic Veins/abnormalities/radiography
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Humans
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Liver Circulation
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Portal Vein/abnormalities/radiography
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*Septal Occluder Device
3.Two Cases of Portal Annular Pancreas.
Ji Young JANG ; Young Eun CHUNG ; Chang Moo KANG ; Sung Hoon CHOI ; Ho Kyoung HWANG ; Woo Jung LEE
The Korean Journal of Gastroenterology 2012;60(1):52-55
Portal annular pancreas is one of the pancreatic fusion anomalies in which the uncinate process of the pancreas extends to fuse with the dorsal pancreas by encircling the portal vein or superior mesenteric vein. We report two consecutive patients with portal annular pancreas. The first case is a 71-year-old male patient who underwent a pancreaticoduodenectomy for intraductal papillary mucinous neoplasm in the head of pancreas. His preoperative computed tomography scan showed the suprasplenic type portal annular pancreas. The second case is a 74-year-old female patient who underwent a laparoscopic anterior radical antegrade modular pancreatosplenectomy (RAMPS) for pancreatic body cancer. In operative finding, portal confluence (superior mesenteric vein-splenic vein-portal vein) was encased with the uncinate process of pancreas in both cases. Therefore, they required pancreatic division at the pancreatic neck portion twice. During the postoperative period, grade B and A, respectively, postoperative pancreatic fistulas occurred and were controlled by conservative management. Surgeons need to know about this rare pancreatic condition prior to surgical intervention to avoid complications, and to provide patients with well-designed, case-specific pancreatic surgery.
Adenocarcinoma, Mucinous/diagnosis/surgery
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Aged
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Female
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Humans
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Male
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Mesenteric Veins/radiography
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Pancreas/abnormalities
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Pancreatic Diseases/*diagnosis/therapy
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Pancreatic Fistula/etiology
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Pancreatic Neoplasms/diagnosis/surgery
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Pancreaticoduodenectomy/adverse effects
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Portal Vein/radiography
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Splenic Vein/radiography
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Tomography, X-Ray Computed
4.N-Butyl Cyanoacrylate Embolization with Blood Flow Control of an Arterioportal Shunt That Developed after Radiofrequency Ablation of Hepatocellular Carcinoma.
Tetsuo SONOMURA ; Nobuyuki KAWAI ; Kazushi KISHI ; Akira IKOMA ; Hiroki SANDA ; Kouhei NAKATA ; Hiroki MINAMIGUCHI ; Motoki NAKAI ; Seiki HOSOKAWA ; Hideyuki TAMAI ; Morio SATO
Korean Journal of Radiology 2014;15(2):250-253
We present a case of a patient with rapid deterioration of esophageal varices caused by portal hypertension accompanied by a large arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. We used n-butyl cyanoacrylate (NBCA) as an embolic material to achieve pinpoint embolization of the shunt, because the microcatheter tip was 2 cm away from the shunt site. Under hepatic arterial flow control using a balloon catheter, the arterioportal shunt was successfully embolized with NBCA, which caused an improvement in the esophageal varices.
Aged
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Arteriovenous Fistula/etiology/radiography/*therapy
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Carcinoma, Hepatocellular/*surgery
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Catheter Ablation/*adverse effects
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Embolization, Therapeutic/*methods
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Enbucrilate/*therapeutic use
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Esophageal and Gastric Varices/etiology/*therapy
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Hepatic Artery/*abnormalities/radiography
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Humans
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Liver Neoplasms/*surgery
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Male
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Portal Vein/*abnormalities/radiography
5.Sonography of hepatic hemangioma accompanied by arterioportal shunt.
Sang Hyun CHOI ; Kyoung Won KIM ; Gil Sun HONG ; So Jung LEE ; So Yeon KIM ; Jong Seok LEE ; Hyoung Jung KIM
Clinical and Molecular Hepatology 2014;20(1):85-87
No abstract available.
Arteriovenous Fistula/complications
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Fatty Liver/complications/radiography/ultrasonography
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Hemangioma/etiology/radiography/*ultrasonography
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Hepatic Artery/abnormalities
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Humans
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Liver Neoplasms/radiography/ultrasonography
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Male
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Middle Aged
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Portal Vein/abnormalities
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Tomography, X-Ray Computed