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Journal of Medical Ultrasonics

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1991 - Vol.18

Vol.18 No.01

Case Report(症例報告)

(0099 - 0103)

原発性胆汁性肝硬変に合併したPV Shuntの1例

A Case of Portal-Hepato Venous Shunt Complicated with Primary Biliary Cirrhosis

三善 英知1, 益沢 学1, 堀本 雅祥1, 加藤 道夫1, 奥山 卓正1, 鎌田 武信2

Eiji MIYOSHI1, Manabu MASUZAWA1, Masayoshi HORIMOTO1, Michio KATO1, Takumasa OKUYAMA1, Takenobu KAMADA2

1国立大阪病院消化器科, 2大阪大学第一内科

1Department of Gastroenterology, Osaka National Hospital, 2The first department of internal medicine, Osaka University Medical School

キーワード : PV Shunt, PBC, Color Doppler

A 58-year-old woman was admitted to our hospital with liver dysfunction. Laboratory data was positive for anti-mitocondrial antibodies. An abdominal echogram showed a hypoechoic area in the left lateral segment of the liver, which communicates the portal vein with the hepatic vein. Color doppler images showed clearly that two color blood flow is mixed in that area. Therefore, we made a diagnosis of portal-hepato venous shunt (PV shunt) to the abnormal area, and confirmed it with angiography. On the other hand, liver biopsy showed early stage of primary biliary cirrhosis (PBC). Recently there have been an increasing number of reported cases of PV shunts, but we have never seen PV shunt cmplicated with PBC in Japan, and color doppler was very useful in diagnosing this case.