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Abernethy malformation: A comprehensive review.

Parveen Kumar1, Mona Bhatia1, Amit Garg1

  • 1Department of Radiodiagnosis and Imaging, Fortis Escort Heart Institute, New Delhi, India.

Diagnostic and Interventional Radiology (Ankara, Turkey)
|December 16, 2021
PubMed
Summary
This summary is machine-generated.

Abernethy malformation is a rare vascular anomaly where blood bypasses the liver. Treatment depends on the type, ranging from medical management to liver transplantation or shunt occlusion.

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Area of Science:

  • Vascular Surgery
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Abernethy malformation is a rare congenital portosystemic shunt.
  • It involves blood from the portal vein bypassing the liver into systemic circulation.
  • Associated anomalies and complications necessitate a thorough understanding.

Purpose of the Study:

  • To provide a comprehensive overview of Abernethy malformation.
  • To highlight the importance of imaging in diagnosis and management.
  • To differentiate Abernethy malformation from other portosystemic shunts.

Main Methods:

  • Review of anatomical and embryological principles.
  • Discussion of imaging modalities like CT and MR angiography.
  • Analysis of diagnostic criteria and differential diagnoses.

Main Results:

  • Categorization into Type I (complete shunt) and Type II (partial shunt).
  • Association with congenital anomalies and acquired complications.
  • Imaging findings crucial for shunt anatomy and anomaly evaluation.

Conclusions:

  • Accurate diagnosis requires understanding anatomy, embryology, and imaging.
  • Management strategies vary based on malformation type and patient symptoms.
  • Type I typically requires liver transplantation; Type II may be treated with shunt occlusion.