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Updated: Jul 7, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
[Spontaneous intrahepatic porto-cava shunt associated with chronic pericarditis. A case report]
Kais Nouira1, Alifa Daghfous, Nadia Maamouri
1Service de Radiologie, Hôpital La Rabta, Tunis, Tunisie.
Introduction:
Spontaneous intrahepatic portosystemic shunts are rare vascular anomalies that consist of a communication between the portal system and the systemic venous circulation. We report a case of a porto-caval shunt associated with chronic pericarditis.
Case Report:
A 47-year-old patient with post pericarditis cirrhosis and without encephalopathy and hypoglycaemia. The shunt was tubular in its initial segment and aneurismal just before joining the vena cava.
Discussion:
Spontaneous intrahepatic portosystemic shunt is a rare anomaly. Diagnosis can be made by Doppler ultrasound and helical CT.
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