Document Detail

Prenatally diagnosed portocaval shunt and postnatal outcome: a case report.
MedLine Citation:
PMID:  15300744     Owner:  NLM     Status:  MEDLINE    
Congenital absence of the portal vein (CAPV) is a rare anomaly in the form of a portocaval shunt, whereby the intestinal and splenic venous drainage bypasses the liver and drains directly into the systemic circulation. We report a case of CAPV diagnosed prenatally after the recognition of a dilated umbilical vein draining directly into a large inferior vena cava (IVC). The IVC then drained into the right atrium of a dilated, hyperdynamic heart. The ductus venosus could not be identified. Repeated postnatal scans showed a gradual disappearance of venous lakes in the region of the porta hepatis and a clear drainage of the splenic vein to the left renal vein and the superior mesenteric vein to the IVC. From birth up to twelve months follow-up there was no evidence of liver dysfunction, encephalopathy or liver lesions.
Nicky Manning; Lawrence Impey; David Lindsell; Kokila Lakhoo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  24     ISSN:  0197-3851     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-08-09     Completed Date:  2005-04-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  England    
Other Details:
Languages:  eng     Pagination:  537-40     Citation Subset:  IM    
Copyright Information:
Copyright 2004 John Wiley and Sons, Ltd.
Department of Fetal Medicine, John Radcliffe Hospital, Oxford, UK.
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MeSH Terms
Fetal Diseases / ultrasonography*
Follow-Up Studies
Infant, Newborn
Portal Vein / abnormalities*,  embryology
Pregnancy Outcome
Ultrasonography, Prenatal
Umbilical Veins / abnormalities*,  embryology,  ultrasonography
Vena Cava, Inferior / embryology,  ultrasonography*

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