Jm. Kerleau et al., CONGENITAL INTRAHEPATIC PORTACAVAL-SHUNT A LATE DISCOVERED CASE WITHOUT UNDERLYING LIVER-DISEASE, La Revue de medecine interne, 16(8), 1995, pp. 616-618
We report the discovery of a congenital intrahepatic portocaval shunt
during heart failure in a 68 year-old woman, without cirrhosis or port
al hypertension. Site had hepatic encephalopathy. Only 17 such cases h
ave been reported Their physiopathology remains unclear. Reasons for l
ate revelation are debated Color doppler imagine is very useful for di
agnosis following and treatment of these shunts. Therapeutic options a
re presented.