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Color Doppler sonography in the diagnosis of neonatal intrahepatic portosystemic shunts
Author(s) -
Valls Esperanza,
Ceres Luisa,
Urbaneja Alberto,
Muñoz Raquel,
Alonso Ignacio
Publication year - 2000
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(200001)28:1<42::aid-jcu7>3.0.co;2-c
Subject(s) - medicine , asymptomatic , portal vein , color doppler , radiology , jaundice , doppler sonography , doppler ultrasound , ultrasound , portosystemic shunt , portal hypertension , surgery , ultrasonography , cirrhosis
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. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:42–46, 2000.