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Inicio Cirugía Española (English Edition) Porto-caval Shunt or Abernethy Malformation
Journal Information
Vol. 92. Issue 7.
Pages 491 (August - September 2014)
Vol. 92. Issue 7.
Pages 491 (August - September 2014)
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Porto-caval Shunt or Abernethy Malformation
Shunt portocava o malformación de Abernethy
Fátima Sena Ruiz
Corresponding author
, Gonzalo Martín Martín, José Miguel Moron Canis, Francesc Xavier Gonzalez Argenté
Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Son Espases, Palma de Mallorca, Spain
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A 42-year-old woman with a history of chronic alcoholic liver disease and a congenital liver defect (partial porto-caval shunt) presented with choluria, acholia and hyporexia after re-initiating alcohol intake. During physical examination, frank jaundice was observed. Blood work showed cholestasis and elevated cytolysis. CT in venous phase showed an image typical of Abernethy malformation with communication (arrow) between the portal (star) and caval (triangle) veins, as well as an ischemic area in the right liver. With a diagnosis of acute liver failure due to alcohol use and ischemia (due to progression of the porto-caval shunt), treatment was begun with pentoxifylline and nutritional supplements, and an improvement in symptoms was observed (Fig. 1).

Fig. 1
Conflict of Interests

The authors have no conflict of interests to declare.

Please cite this article as: Sena Ruiz F, Martín Martín G, Moron Canis y Francesc JM, Gonzalez Argenté X. Shunt portocava o malformación de Abernethy. Cir Esp. 2014;92:491.

Copyright © 2014. AEC
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