PDF(Pubmed)
Abstract：
A young female presented to us with abdominal distension along with pedal edema. She had no prior medical or surgical history apart from a caesarean section done a few years prior. Initial workup showed low hemoglobin, low serum albumin and slight raised ESR. Her LFTs were slightly deranged. Ultrasound abdomen had evidence of portal hypertension along with splenomegaly. While ultrasound hepatic Doppler revealed a portosystemic shunt between the portal vein and the left hepatic vein, with a shunt ratio of 7.1%. CT scan abdomen confirmed these findings and a diagnosis of Type III intrahepatic portosystemic shunt and spleno-renal shunt was made. Since the patient was currently asymptomatic, she was advised regular follow-ups and was managed conservatively.
摘要：
一名年轻女性出现腹胀和踏板水肿。除了几年前进行的剖腹产外，她没有病史或手术史。初步检查显示血红蛋白低,血清白蛋白低，ESR轻微升高。她的LFT有点精神错乱。腹部超声检查有门静脉高压和脾肿大的证据。而超声肝多普勒显示门静脉和左肝静脉之间的门体分流，分流率为7.1%。腹部CT扫描证实了这些发现，并诊断为III型肝内门体分流术和脾肾分流术。由于患者目前无症状，她被建议定期随访，并得到保守的管理。
