Serum Bile Acid Concentration for Detection of the Connection Site of Portal-Systemic Shunt-A case report with Cruveilhiel-Baumgarten syndrome

A case of Cruveilhiel-Baumgarten syndrome was presented with special reference to the serum bile acids as an indicator of portal-systemic shunt. Total serum bile acid concentration was enzymatically determined in the hepatic vein and other various sites of systemic vein by selective catheterization....

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Published inKanzo Vol. 19; no. 10; pp. 997 - 1003
Main Authors BEPPU, Tomoe, FUKASAWA, Masaki, SUGIURA, Mitsuo, WADA, Tatsuo, IWASAKI, Yasuhiko, KOSAKA, Kinori, TANAKA, Naomi, OSUGA, Toshiaki
Format Journal Article
LanguageJapanese
Published The Japan Society of Hepatology 1978
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Summary:A case of Cruveilhiel-Baumgarten syndrome was presented with special reference to the serum bile acids as an indicator of portal-systemic shunt. Total serum bile acid concentration was enzymatically determined in the hepatic vein and other various sites of systemic vein by selective catheterization. Serum bile acid concentration was lowest in the hepatic vein and elevated in the inferior and superior vena cava. The elevation of the serum bile acid concentration suggested the existence of portal-systemic shunt. The presence of shunt in the elevated sites of serum bile acid concentration was confirmed by angiographical finding. This case is the first to utilize serum bile acid concentration for the detection of the portal-systemic connection site.
ISSN:0451-4203
1881-3593
DOI:10.2957/kanzo.19.997