Spontaneous intrahepatic portosystemic venous shunt in leptospirosis: is it a rare association or coincidence?

Kantarcı, Fatih; Mihmanlı, İsmail; Kara, Batuhan; Cantasdemir, Murat; Adaletli, İbrahim

doi:10.1007/s00330-002-1807-2

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…There are cases of SIPSVS associated with focal nodular hyperplasia or hereditary hemorrhagic telengiectasia (HHT) (1,15,16,30,32). HHT is an autosomal dominant disorder characterized by telangiectasias and arteriovenous malformations of potentially every organ (3).…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Filik¹,

Boyacioglu

2006

Acta Med. (Hradec Kralove, Czech Repub.)

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Spontaneous intrahepatic portosystemic venous shunt (SIPSVS) is relatively rare and not well recognized. Herein, we report 75-year-old female of an aneurysmal portosystemic venous shunt detected by colour Doppler ultrasound in check-up examination. A direct vascular communication between left portal vein and middle hepatic vein was confirmed by CT-angiography. The cause of intrahepatic portosystemic venous shunt is disputed. This abnormality, mainly described in cirrhotic liver and rarely in healthy liver, is usually revealed by hepatic encephalopathy or glycoregulation disorders. However, with improvements in imaging the number of reports of SIPSVS identified incidentally in patients without definite symptoms increasing.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Filik¹,

Boyacioglu

2006

Acta Med. (Hradec Kralove, Czech Repub.)

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Spontaneous Intrahepatic Portosystemic Shunt in Budd–Chiari Syndrome

Ding¹,

Li²,

Han³

et al. 2014

Annals of Vascular Surgery

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Atypical manifestations of leptospirosis

Rajapakse

Rodrigo

Balaji

et al. 2015

Transactions of the Royal Society of Tropical Medicine and Hygi

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Leptospirosis is an illness with a wide spectrum of clinical manifestations and severe illness affects nearly all organ systems. Serious and potentially life-threatening clinical manifestations of acute leptospirosis are caused by both direct tissue invasion by spirochaetes and by the host immune responses. In its severe form, leptospirosis can cause multi-organ dysfunction and death in a matter of days. Therefore it is critical to suspect and recognize the disease early, in order to initiate timely treatment. While the classical presentation of the disease is easily recognized by experienced clinicians practising in endemic regions, rarer manifestations can be easily missed. In this systematic review, we summarize the atypical manifestations reported in literature in patients with confirmed leptospirosis. Awareness of these unusual manifestations would hopefully guide clinicians towards early diagnosis.

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Spontaneous intrahepatic portosystemic venous shunt in leptospirosis: is it a rare association or coincidence?

Cited by 3 publications

References 3 publications

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Asymptomatic Aneurysmal Portosystemic Venous Shunt: A Case Report and Review of the Literature

Spontaneous Intrahepatic Portosystemic Shunt in Budd–Chiari Syndrome

Atypical manifestations of leptospirosis

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