Type I congenital extrahepatic portosystemic shunt treated by orthotopic liver transplantation: A case report

• Published in: World journal of clinical cases Vol. 7; no. 7; pp. 903 - 907
• Main Authors: Xiang, Wen, Wang, Hao, Si, Zhong-Zhou, Chen, Guang-Shun, Wang, Guan-Wu, Li, Ting
• Format: Report
• Language: English
• Published: 06.04.2019
• ISSN: 2307-8960; 2307-8960
• DOI: 10.12998/wjcc.v7.i7.903

BACKGROUNDCongenital extrahepatic portosystemic shunt, also known as Abernethy deformation, is a rare malformation caused by dysplasia in the portal vein system. There are few reports of liver transplantation as a treatment for Abernethy deformation, and our report is the first case in China. This is the second reported case with congenital extrahepatic portosystemic shunt combined with focal nodular hyperplasia and hepatopulmonary treated with liver transplantation. CASE SUMMARYThe patient was a 14-year-old girl, diagnosed preoperatively as type Ib Abernethy deformation, intrahepatic multiple space-occupying lesion, and hepatopulmonary syndrome. The patient recovered well after undergoing classic orthotopic liver transplantation. Liver function, pulmonary function, and portal vein computed tomography angiography imaging were reexamined 20 mo postoperatively, and no abnormality was observed. CONCLUSIONLiver transplantation is an effective treatment for type I Abernethy deformation combined with focal nodular hyperplasia and hepatopulmonary syndrome.