Yıl: 2022 Cilt: 6 Sayı: 1 Sayfa Aralığı: 9 - 14 Metin Dili: İngilizce DOI: 10.30565/medalanya.828133 İndeks Tarihi: 07-09-2022

CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts

Öz:
Aim: The aim of the study was to describe the Doppler ultrasonography and computed tomography findings that should be considered in the diagnosis and treatment of congenital portosystemic shunts. Methods: Archive retrospectively scanned. In consideration of shunts: communication type and aneurysm were defined. Additional imaging modalities were utilized. Results: 11 patients were included in the study. The ages ranged from 0 to 158 months. There were two patients with shunt connecting segment-4 portal vein - middle hepatic vein, two patients with segment-3 portal vein - left hepatic vein, two patients with left portal vein – middle hepatic vein, two patients with portal vein - left renal vein, two patients with portal vein -inferior vena cava, and one patient with portal vein - perirectal venous plexus. Conclusion: Some classifications used in congenital portosystemic shunts are insufficient in guiding treatment. Elaborate definition of the imaging findings including the involved vessels, type of communication, and presence of aneurysm or dilated vessels is of the prime importance for tailoring clinical management of the patients.
Anahtar Kelime: Congenital portosystemic shunt Computed tomography Doppler ultrasonography

Konjenital portosistemik şantların BT anjiyografi ve doppler ultrason ile değerlendirilmesi

Öz:
Amaç: Konjenital portosistemik şantların tanısında ve tedavinin yönlendirilmesinde dikkat edilmesi gereken Doppler ultrasonografi ve Bilgisayarlı tomografi bulgularını tanımlamaktır. Metod: Arşiv geriye dönük olarak taranmıştır. Şantlar göz önüne alındığında: bağlantı tipi ve anevrizma varlığı tanımlandı. Ek görüntüleme yöntemleri varsa not edildi. Bulgular: Çalışmaya 11 hasta dahil edildi. Yaşlar 0 ile 158 ay arasında değişiyordu. Şant bağlantısı segment-4 portal ven - orta hepatik ven olan iki hasta, segment-3 portal ven - sol hepatik ven olan iki hasta, sol portal ven - orta hepatik ven olan iki hasta, portal ven - sol renal ven olan iki hasta, portal ven - inferior vena kava olan iki hasta ve portal ven - perirektal venöz pleksuslu bir hasta vardı. Sonuç: Konjenital portosistemik şantlarda kullanılan bazı sınıflamalar tedavi yönlendirmesinde yetersiz kalmaktadır. İlgili damarlar, iletişim tipi ve anevrizma veya dilate damarların varlığı dahil olmak üzere görüntüleme bulgularının ayrıntılı tanımı, hastaların klinik yönetiminin özelleştirilmesi için birincil öneme sahiptir.
Anahtar Kelime: Konjenital Portosistemik Şant Bilgisayarlı Tomografi Doppler Ultrasonograf

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bernard O, Franchi-Abella S, Branchereau S, Pariente D, Gauthier F, Jacquemin E, Congenital portosystemic shunts in children: recognition, evaluation, and management. Semin Liver Dis; 2012. Thieme Medical Publishers. http://dx.doi.org/ DOI: 10.1055/s-0032-1329896.
  • 2. De Gaetano AM, Rinaldi P, Barbaro B, Mirk P, Di Stasi C, Gui B, et al. Intrahepatic portosystemic venous shunts: color Doppler sonography. Abdom Imaging. 2007. 32(4):463-9. DOI: 10.1007/s00261-006-9068-1
  • 3. Kim MJ, Ko JS, Seo JK, Yang HR, Chang JY, Kim GB, et al. Clinical features of congenital portosystemic shunt in children. Eur J Pediatr. 2012 171(2):395-400. DOI: 10.1007/s00431-011-1564-9
  • 4. Matsuura T, Takahashi Y, Yanagi Y, Yoshimaru K, Yamamura K, Morihana E, et al. Surgical strategy according to the anatomical types of congenital portosystemic shunts in children. J Pediatr Surg. 2016 51(12):2099-104. DOI: 10.1016/j.jpedsurg.2016.09.046
  • 5. Papamichail M, Pizanias M, Heaton N. Congenital portosystemic venous shunt. Eur J Pediatr. 2018 177(3):285-94. DOI: 10.1007/s00431-017-3058-x
  • 6. Filik L, Boyacioglu S. Asymptomatic aneurysmal portosystemic venous shunt: a case report and review of the literature. Acta Medica. 2006 49(4):241. DOI: 10.14712/18059694.2017.140
  • 7. Hondo T, Teragawa H, Munemori M, Morishima N, Watanabe H, OGATA S, et al. Portal-hepatic venous shunt through a portal aneurysm complicated by hepatic encephalopathy and pulmonary hypertension. Intern Med. 1997 36(11):790-3. DOI: 10.2169/internalmedicine.36.790
  • 8. Ozbek S, Killi MR, Pourbagher MA, Parildar M, Katranci N, Solak. Portal venous system aneurysms: report of five cases. J ULTRAS MED. 1999 18(6):417-22; quiz 23. DOI: 10.7863/jum.1999.18.6.417
  • 9. Blanc T, Guerin F, Franchi-Abella S, Jacquemin E, Pariente D, Soubrane O, et al. Congenital portosystemic shunts in children: a new anatomical classification correlated with surgical strategy. Ann Surg. 2014 260(1):188-98. DOI: 10.1097/ SLA.0000000000000266
  • 10. Kanazawa H, Nosaka S, Miyazaki O, Sakamoto S, Fukuda A, Shigeta T, et al. The classification based on intrahepatic portal system for congenital portosystemic shunts. J Pediatr Surg. 2015 50(4):688-95. DOI: 10.1016/j.jpedsurg.2015.01.009
  • 11. Franchi-Abella S, Gonzales E, Ackermann O, Branchereau S, Pariente D, Guérin F; Congenital portosystemic shunts: diagnosis and treatment. International Registry of Congenital Portosystemic Shunt members. Abdom Radiol (NY). 2018 Aug;43(8):2023-2036. doi: 10.1007/s00261-018-1619-8. DOI: 10.1007/s00261- 018-1619-8
  • 12. DiPaola F, Trout AT, Walther AE, Gupta A, Sheridan R, Campbell KM, et al. Congenital Portosystemic Shunts in Children: Associations, Complications, and Outcomes. Dig Dis Sci. 2020 Apr;65(4):1239-1251. doi: 10.1007/s10620-019-05834. DOI: 10.1007/s10620-019-05834-w
  • 13. Kobayashi N, Niwa T, Kirikoshi H, Fujita K, Yoneda M, Saito S, et al. Clinical classification of congenital extrahepatic portosystemic shunts. Hepatol Res. 2010 40(6):585-93. DOI: 10.1111/j.1872-034X.2010.00667.x
  • 14. Park JH, Cha S, Han JK, Han MA. Intrahepatic portosystemic venous shunt. AJR Am J Roentgenol. 1990 155(3):527-8. DOI: 10.2214/ajr.155.3.2117349
  • 15. Abernethy JJPTotRSoL. IX. Account of two instances of uncommon formation, in the viscera of the human body. 1793 (83):59-66. DOI: 10.1098/rstl.1793.0010
APA Akdulum i, Akyüz M, Gürün E, ÖZTÜRK M, Sığırcı A, BOYUNAGA O (2022). CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. , 9 - 14. 10.30565/medalanya.828133
Chicago Akdulum ismail,Akyüz Melih,Gürün Enes,ÖZTÜRK MEHMET,Sığırcı Ahmet,BOYUNAGA OZNUR LEMAN CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. (2022): 9 - 14. 10.30565/medalanya.828133
MLA Akdulum ismail,Akyüz Melih,Gürün Enes,ÖZTÜRK MEHMET,Sığırcı Ahmet,BOYUNAGA OZNUR LEMAN CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. , 2022, ss.9 - 14. 10.30565/medalanya.828133
AMA Akdulum i,Akyüz M,Gürün E,ÖZTÜRK M,Sığırcı A,BOYUNAGA O CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. . 2022; 9 - 14. 10.30565/medalanya.828133
Vancouver Akdulum i,Akyüz M,Gürün E,ÖZTÜRK M,Sığırcı A,BOYUNAGA O CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. . 2022; 9 - 14. 10.30565/medalanya.828133
IEEE Akdulum i,Akyüz M,Gürün E,ÖZTÜRK M,Sığırcı A,BOYUNAGA O "CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts." , ss.9 - 14, 2022. 10.30565/medalanya.828133
ISNAD Akdulum, ismail vd. "CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts". (2022), 9-14. https://doi.org/10.30565/medalanya.828133
APA Akdulum i, Akyüz M, Gürün E, ÖZTÜRK M, Sığırcı A, BOYUNAGA O (2022). CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. Acta Medica Alanya, 6(1), 9 - 14. 10.30565/medalanya.828133
Chicago Akdulum ismail,Akyüz Melih,Gürün Enes,ÖZTÜRK MEHMET,Sığırcı Ahmet,BOYUNAGA OZNUR LEMAN CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. Acta Medica Alanya 6, no.1 (2022): 9 - 14. 10.30565/medalanya.828133
MLA Akdulum ismail,Akyüz Melih,Gürün Enes,ÖZTÜRK MEHMET,Sığırcı Ahmet,BOYUNAGA OZNUR LEMAN CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. Acta Medica Alanya, vol.6, no.1, 2022, ss.9 - 14. 10.30565/medalanya.828133
AMA Akdulum i,Akyüz M,Gürün E,ÖZTÜRK M,Sığırcı A,BOYUNAGA O CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. Acta Medica Alanya. 2022; 6(1): 9 - 14. 10.30565/medalanya.828133
Vancouver Akdulum i,Akyüz M,Gürün E,ÖZTÜRK M,Sığırcı A,BOYUNAGA O CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts. Acta Medica Alanya. 2022; 6(1): 9 - 14. 10.30565/medalanya.828133
IEEE Akdulum i,Akyüz M,Gürün E,ÖZTÜRK M,Sığırcı A,BOYUNAGA O "CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts." Acta Medica Alanya, 6, ss.9 - 14, 2022. 10.30565/medalanya.828133
ISNAD Akdulum, ismail vd. "CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts". Acta Medica Alanya 6/1 (2022), 9-14. https://doi.org/10.30565/medalanya.828133