Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging

Congenital extrahepatic portosystemic shunt (CEPS) is a rare disorder characterised by partial or complete diversion of portomesenteric blood into systemic veins via congenital shunts. Type I is characterised by complete lack of intrahepatic portal venous blood flow due to an end to side fistula bet...

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Main Authors: Pankaj Gupta, Anindita Sinha, Kushaljit Singh Sodhi, Anupam Lal, Uma Debi, Babu R. Thapa, Niranjan Khandelwal
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Radiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/181958
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author Pankaj Gupta
Anindita Sinha
Kushaljit Singh Sodhi
Anupam Lal
Uma Debi
Babu R. Thapa
Niranjan Khandelwal
author_facet Pankaj Gupta
Anindita Sinha
Kushaljit Singh Sodhi
Anupam Lal
Uma Debi
Babu R. Thapa
Niranjan Khandelwal
author_sort Pankaj Gupta
collection DOAJ
description Congenital extrahepatic portosystemic shunt (CEPS) is a rare disorder characterised by partial or complete diversion of portomesenteric blood into systemic veins via congenital shunts. Type I is characterised by complete lack of intrahepatic portal venous blood flow due to an end to side fistula between main portal vein and the inferior vena cava. Type II on the other hand is characterised by partial preservation of portal blood supply to liver and side to side fistula between main portal vein or its branches and mesenteric, splenic, gastric, and systemic veins. The presentation of these patients is variable. Focal liver lesions, most commonly nodular regenerative hyperplasia, are an important clue to the underlying condition. This pictorial essay covers imaging characteristics in abdominopelvic region.
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institution Kabale University
issn 2090-1941
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publishDate 2015-01-01
publisher Wiley
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series Radiology Research and Practice
spelling doaj-art-3595524052f44f5fa185610d672cd54b2025-02-03T00:59:57ZengWileyRadiology Research and Practice2090-19412090-195X2015-01-01201510.1155/2015/181958181958Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance ImagingPankaj Gupta0Anindita Sinha1Kushaljit Singh Sodhi2Anupam Lal3Uma Debi4Babu R. Thapa5Niranjan Khandelwal6Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaDepartment of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaDepartment of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaDepartment of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaDepartment of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaPediatric Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaDepartment of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, IndiaCongenital extrahepatic portosystemic shunt (CEPS) is a rare disorder characterised by partial or complete diversion of portomesenteric blood into systemic veins via congenital shunts. Type I is characterised by complete lack of intrahepatic portal venous blood flow due to an end to side fistula between main portal vein and the inferior vena cava. Type II on the other hand is characterised by partial preservation of portal blood supply to liver and side to side fistula between main portal vein or its branches and mesenteric, splenic, gastric, and systemic veins. The presentation of these patients is variable. Focal liver lesions, most commonly nodular regenerative hyperplasia, are an important clue to the underlying condition. This pictorial essay covers imaging characteristics in abdominopelvic region.http://dx.doi.org/10.1155/2015/181958
spellingShingle Pankaj Gupta
Anindita Sinha
Kushaljit Singh Sodhi
Anupam Lal
Uma Debi
Babu R. Thapa
Niranjan Khandelwal
Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging
Radiology Research and Practice
title Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging
title_full Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging
title_fullStr Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging
title_full_unstemmed Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging
title_short Congenital Extrahepatic Portosystemic Shunts: Spectrum of Findings on Ultrasound, Computed Tomography, and Magnetic Resonance Imaging
title_sort congenital extrahepatic portosystemic shunts spectrum of findings on ultrasound computed tomography and magnetic resonance imaging
url http://dx.doi.org/10.1155/2015/181958
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