Color Doppler sonography in the diagnosis of neonatal intrahepatic portosystemic shunts

J Clin Ultrasound. 2000 Jan;28(1):42-6. doi: 10.1002/(sici)1097-0096(200001)28:1<42::aid-jcu7>3.0.co;2-c.

Abstract

Intrahepatic portosystemic shunts are infrequent in children. We report 3 cases of neonates who presented with jaundice during the first month of life. Color Doppler sonography in the first 2 cases showed direct communication between the right portal and hepatic veins. Both infants were asymptomatic, and the shunts disappeared spontaneously. The third case involved several shunts and an aberrant medial portal vein. This patient developed heart failure and died after surgery. Color Doppler sonography was useful in the diagnosis and follow-up of the shunts in all 3 cases.

Publication types

  • Case Reports

MeSH terms

  • Digestive System Abnormalities / diagnostic imaging*
  • Fatal Outcome
  • Female
  • Follow-Up Studies
  • Hepatic Veins / abnormalities
  • Hepatic Veins / diagnostic imaging*
  • Hepatic Veins / surgery
  • Humans
  • Hypertension, Portal / diagnostic imaging
  • Hypertension, Portal / etiology
  • Infant, Newborn
  • Jaundice, Neonatal / diagnostic imaging*
  • Jaundice, Neonatal / etiology
  • Liver Circulation
  • Male
  • Portal Vein / abnormalities
  • Portal Vein / diagnostic imaging*
  • Portal Vein / surgery
  • Sensitivity and Specificity
  • Ultrasonography, Doppler, Color / methods*