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 UNUSUAL CASE
Year : 2014  |  Volume : 10  |  Issue : 4  |  Page : 207-209

Spontaneous intrahepatic portosystemic shunt managed by laparoscopic hepatic vein closure


1 Department of Surgery, Division of Vascular Surgery, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea
2 Department of Radiology, Inha University School of Medicine, Incheon, Korea
3 Department of Surgery, Inha University School of Medicine, Incheon, Korea

Correspondence Address:
Keon-Young Lee
Department of Surgery, Inha University School of Medicine, 7-206, 3-Ga Sinheung-Dong, Jung-Gu, Incheon, 400-711
Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.141528

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Intrahepatic portosystemic shunt (IPSS) is uncommon and usually follows trauma or iatrogenic injury, but spontaneous shunts may also occur, in patients without the evidence of chronic liver disease. Although interventional endovascular management of the shunts is the treatment of choice, a surgical approach can be used when the percutaneous approach fails. We report here a case of symptomatic spontaneous IPSS between the posteroinferior branch of right portal vein and the right inferior hepatic vein, which was successfully managed with laparoscopic closure of the hepatic vein. To the best of our knowledge, this is the first case report of laparoscopic management of spontaneous IPSS.






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