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Inicio Cirugía Española (English Edition) Abernethy Malformation: Congenital Porthosystemic Shunt
Información de la revista
Vol. 93. Núm. 3.
Páginas e17 (marzo 2015)
Vol. 93. Núm. 3.
Páginas e17 (marzo 2015)
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Abernethy Malformation: Congenital Porthosystemic Shunt
Malformación de Abernethy: shunt portosistémico congénito
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4528
Fernanda Benavides de la Rosa
Autor para correspondencia
diana.f.benavides@gmail.com

Corresponding author.
, Íñigo López de Cenarruzabeitia, Juan García-Castaño Gandiaga, Juan Pablo Beltrán de Heredia
Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
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A 20-year-old patient came to our emergency department due to abdominal pain that had been progressing over the previous 72h in association with vomiting and liquid stools. Physical examination and lab work showed no significant alterations. Abdominal CT, MRI (Fig. 1) and liver ultrasound identified a large varicose dilatation of the inferior mesenteric vein (IMV) with a mesenteric-hypogastric shunt. The IMV (Fig. 1) showed inverted flow and there were no intra- or extrahepatic portal branches. Abernethy malformation is the congenital absence of the portal vein with secondary caval-mesenteric shunt. There are 2 types: type I, which is an end-to-side shunt (total absence of intrahepatic portal flow); and type II, which is a side-to-side shunt (partially preserved portal flow).

Fig. 1
(0.08MB).

Diagnosis: Abernethy malformation.

Please cite this article as: Benavides de la Rosa F, López de Cenarruzabeitia Í, García-Castaño Gandiaga J, Beltrán de Heredia JP. Malformación de Abernethy: shunt portosistémico congénito. Cir Esp. 2015;93:e17.

Copyright © 2014. AEC
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