link
Bookmarks
Arterioportal Shunt
Michael P. Federle, MD, FACR
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
4
2
2

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Arterioportal (AP) shunt
            • Definitions

              • Communication between a branch of hepatic artery and portal venous system

            IMAGING

            • General Features

              • Imaging Recommendations

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Sonomura T et al: N-butyl cyanoacrylate embolization with blood flow control of an arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. Korean J Radiol. 15(2):250-3, 2014
                                            2. Kim TK et al: Hepatocellular nodules in liver cirrhosis: contrast-enhanced ultrasound. Abdom Imaging. 36(3):244-63, 2011
                                            3. Nakamura Y et al: Clinical significance of the transitional phase at gadoxetate disodium-enhanced hepatic MRI for the diagnosis of hepatocellular carcinoma: preliminary results. J Comput Assist Tomogr. 35(6):723-7, 2011
                                            4. Vogl TJ et al: Portal vein thrombosis and arterioportal shunts: effects on tumor response after chemoembolization of hepatocellular carcinoma. World J Gastroenterol. 17(10):1267-75, 2011
                                            5. Ahn JH et al: Nontumorous arterioportal shunts in the liver: CT and MRI findings considering mechanisms and fate. Eur Radiol. 20(2):385-94, 2010
                                            6. Mita K et al: Diagnostic sensitivity of imaging modalities for hepatocellular carcinoma smaller than 2 cm. World J Gastroenterol. 16(33):4187-92, 2010
                                            7. Yoo HJ et al: Hepatocellular carcinoma in cirrhotic liver: double-contrast-enhanced, high-resolution 3.0T-MR imaging with pathologic correlation. Invest Radiol. 43(7):538-46, 2008
                                            8. Goto T et al: Osler-Weber-Rendu disease with esophageal varices and hepatic nodular change. Intern Med. 46(12):849-54, 2007
                                            9. Kitade M et al: Intrahepatic cholangiocarcinoma associated with central calcification and arterio-portal shunt. Intern Med. 44(8):825-8, 2005
                                            10. Sakata H et al: Prognostic factors for hepatocellular carcinoma presenting with macroscopic portal vein tumor thrombus. Hepatogastroenterology. 51(60):1575-80, 2004
                                            11. Yoshimitsu K et al: Pitfalls in the imaging diagnosis of hepatocellular nodules in the cirrhotic and noncirrhotic liver. Intervirology. 47(3-5):238-51, 2004
                                            12. Yoshimitsu K et al: Unusual hemodynamics and pseudolesions of the noncirrhotic liver at CT. Radiographics. 21 Spec No:S81-96, 2001
                                            13. Koizumi J et al: Computed tomography during arterial portography under temporary balloon occlusion of the hepatic artery: evaluation of pseudolesions caused by arterio-portal venous shunts. Abdom Imaging. 25(6):583-6, 2000
                                            14. Aithal GP et al: Portal hypertension secondary to arterio-portal fistulae: two unusual cases. Liver. 19(4):343-7, 1999
                                            15. Chen WP et al: Spectrum of transient hepatic attenuation differences in biphasic helical CT. AJR Am J Roentgenol. 172(2):419-24, 1999
                                            16. Suzuki O et al: Appropriate blood flow for arterio-portal shunt in acute hypoxic liver failure. Eur Surg Res. 31(4):324-32, 1999
                                            17. Yoshimitsu K et al: Pseudolesions of the liver possibly caused by focal rib compression: analysis based on hemodynamic change. AJR Am J Roentgenol. 172(3):645-9, 1999
                                            18. Kim TK et al: Nontumorous arterioportal shunt mimicking hypervascular tumor in cirrhotic liver: two-phase spiral CT findings. Radiology. 208(3):597-603, 1998
                                            19. Srivastava DN et al: Pedunculated hepatic haemangioma with arterioportal shunt: treated with angio-embolization and surgery. Australas Radiol. 42(2):151-3, 1998
                                            20. Gryspeerdt S et al: Evaluation of hepatic perfusion disorders with double-phase spiral CT. Radiographics. 17(2):337-48, 1997
                                            21. Itai Y et al: Blood flow and liver imaging. Radiology. 202(2):306-14, 1997
                                            22. Yoshimitsu K et al: Anatomy and clinical importance of cholecystic venous drainage: helical CT observations during injection of contrast medium into the cholecystic artery. AJR Am J Roentgenol. 169(2):505-10, 1997
                                            23. Matsui O et al: Pseudolesion in segment IV of the liver at CT during arterial portography: correlation with aberrant gastric venous drainage. Radiology. 193(1):31-5, 1994
                                            Related Anatomy
                                            Loading...
                                            Related Differential Diagnoses
                                            Loading...
                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Arterioportal (AP) shunt
                                                      • Definitions

                                                        • Communication between a branch of hepatic artery and portal venous system

                                                      IMAGING

                                                      • General Features

                                                        • Imaging Recommendations

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Sonomura T et al: N-butyl cyanoacrylate embolization with blood flow control of an arterioportal shunt that developed after radiofrequency ablation of hepatocellular carcinoma. Korean J Radiol. 15(2):250-3, 2014
                                                                                      2. Kim TK et al: Hepatocellular nodules in liver cirrhosis: contrast-enhanced ultrasound. Abdom Imaging. 36(3):244-63, 2011
                                                                                      3. Nakamura Y et al: Clinical significance of the transitional phase at gadoxetate disodium-enhanced hepatic MRI for the diagnosis of hepatocellular carcinoma: preliminary results. J Comput Assist Tomogr. 35(6):723-7, 2011
                                                                                      4. Vogl TJ et al: Portal vein thrombosis and arterioportal shunts: effects on tumor response after chemoembolization of hepatocellular carcinoma. World J Gastroenterol. 17(10):1267-75, 2011
                                                                                      5. Ahn JH et al: Nontumorous arterioportal shunts in the liver: CT and MRI findings considering mechanisms and fate. Eur Radiol. 20(2):385-94, 2010
                                                                                      6. Mita K et al: Diagnostic sensitivity of imaging modalities for hepatocellular carcinoma smaller than 2 cm. World J Gastroenterol. 16(33):4187-92, 2010
                                                                                      7. Yoo HJ et al: Hepatocellular carcinoma in cirrhotic liver: double-contrast-enhanced, high-resolution 3.0T-MR imaging with pathologic correlation. Invest Radiol. 43(7):538-46, 2008
                                                                                      8. Goto T et al: Osler-Weber-Rendu disease with esophageal varices and hepatic nodular change. Intern Med. 46(12):849-54, 2007
                                                                                      9. Kitade M et al: Intrahepatic cholangiocarcinoma associated with central calcification and arterio-portal shunt. Intern Med. 44(8):825-8, 2005
                                                                                      10. Sakata H et al: Prognostic factors for hepatocellular carcinoma presenting with macroscopic portal vein tumor thrombus. Hepatogastroenterology. 51(60):1575-80, 2004
                                                                                      11. Yoshimitsu K et al: Pitfalls in the imaging diagnosis of hepatocellular nodules in the cirrhotic and noncirrhotic liver. Intervirology. 47(3-5):238-51, 2004
                                                                                      12. Yoshimitsu K et al: Unusual hemodynamics and pseudolesions of the noncirrhotic liver at CT. Radiographics. 21 Spec No:S81-96, 2001
                                                                                      13. Koizumi J et al: Computed tomography during arterial portography under temporary balloon occlusion of the hepatic artery: evaluation of pseudolesions caused by arterio-portal venous shunts. Abdom Imaging. 25(6):583-6, 2000
                                                                                      14. Aithal GP et al: Portal hypertension secondary to arterio-portal fistulae: two unusual cases. Liver. 19(4):343-7, 1999
                                                                                      15. Chen WP et al: Spectrum of transient hepatic attenuation differences in biphasic helical CT. AJR Am J Roentgenol. 172(2):419-24, 1999
                                                                                      16. Suzuki O et al: Appropriate blood flow for arterio-portal shunt in acute hypoxic liver failure. Eur Surg Res. 31(4):324-32, 1999
                                                                                      17. Yoshimitsu K et al: Pseudolesions of the liver possibly caused by focal rib compression: analysis based on hemodynamic change. AJR Am J Roentgenol. 172(3):645-9, 1999
                                                                                      18. Kim TK et al: Nontumorous arterioportal shunt mimicking hypervascular tumor in cirrhotic liver: two-phase spiral CT findings. Radiology. 208(3):597-603, 1998
                                                                                      19. Srivastava DN et al: Pedunculated hepatic haemangioma with arterioportal shunt: treated with angio-embolization and surgery. Australas Radiol. 42(2):151-3, 1998
                                                                                      20. Gryspeerdt S et al: Evaluation of hepatic perfusion disorders with double-phase spiral CT. Radiographics. 17(2):337-48, 1997
                                                                                      21. Itai Y et al: Blood flow and liver imaging. Radiology. 202(2):306-14, 1997
                                                                                      22. Yoshimitsu K et al: Anatomy and clinical importance of cholecystic venous drainage: helical CT observations during injection of contrast medium into the cholecystic artery. AJR Am J Roentgenol. 169(2):505-10, 1997
                                                                                      23. Matsui O et al: Pseudolesion in segment IV of the liver at CT during arterial portography: correlation with aberrant gastric venous drainage. Radiology. 193(1):31-5, 1994