Computed Tomography Images of Spontaneous Portosystemic Shunt in Liver Cirrhosis

Author:

Yi Fangfang12ORCID,Guo Xiaozhong1ORCID,Zeng Qing-Lei3ORCID,Yang Benqiang4ORCID,He Yanglan15ORCID,Yuan Shanshan6ORCID,Arora Ankur7ORCID,Qi Xingshun1ORCID

Affiliation:

1. Liver Cirrhosis Study Group, Department of Gastroenterology, General Hospital of Northern Theater Command (formerly called General Hospital of Shenyang Military Area), Shenyang 110840, China

2. Department of Infectious Diseases, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang Provincial Key Laboratory for Accurate Diagnosis and Treatment of Chronic Liver Diseases, Wenzhou 325006, China

3. Department of Infectious Diseases and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China

4. Department of Radiology, General Hospital of Northern Theater Command, Shenyang 110840, China

5. Postgraduate College, China Medical University, Shenyang 110122, China

6. Department of Gastroenterology, Xi’an Central Hospital, Xi’an 710003, China

7. Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK

Abstract

Spontaneous portosystemic shunt (SPSS) refers to collateral vessels that communicate between the portal vein system and systemic circulation. SPSS mainly includes esophageal varices, gastric varices, left gastric vein, recanalized paraumbilical vein, abdominal wall varices, and spontaneous splenorenal shunt. SPSS contributes to the development of hepatic encephalopathy caused by portal vein inflow bypassing and carries a higher risk of death in liver cirrhosis. Abdominal contrast-enhanced computed tomography is a major imaging approach to establish a diagnosis of SPSS and evaluate its location and feature. This review primarily describes the main contrast-enhanced CT features of SPSS in liver cirrhosis.

Publisher

Hindawi Limited

Subject

Gastroenterology,Hepatology,General Medicine

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