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Erschienen in: CardioVascular and Interventional Radiology 8/2018

19.04.2018 | Case Report

Radioembolization for Hepatocellular Carcinoma Arising in the Setting of a Congenital Extrahepatic Portosystemic Shunt (Abernethy Malformation)

verfasst von: Thomas Kroencke, Marcus Murnauer, Frank Alexander Jordan, Vera Blodow, Hannes Ruhnke, Tina Schaller, Bruno Märkl

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 8/2018

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Abstract

In a 50-year-old male with an incidentally discovered hepatocellular carcinoma, a congenital extrahepatic portosystemic shunt with the absence of the portal vein (Abernethy syndrome) was diagnosed by imaging. This study aims to discuss the variant anatomy relevant to this splanchnic vascular malformation, review its association with the development of liver neoplasms, and report the safety and efficacy of TARE followed by resection for a HCC arising in this rare condition.
Literatur
1.
Zurück zum Zitat Abernethy J, Banks J. Account of two instances of uncommon formation, in the viscera of the human body. Philos Trans R Soc Lond. 1793;83:59–66.CrossRef Abernethy J, Banks J. Account of two instances of uncommon formation, in the viscera of the human body. Philos Trans R Soc Lond. 1793;83:59–66.CrossRef
2.
Zurück zum Zitat Murray CP, Yoo S-J, Babyn PS. Congenital extrahepatic portosystemic shunts. Pediatr Radiol. 2003;33:614–20.CrossRefPubMed Murray CP, Yoo S-J, Babyn PS. Congenital extrahepatic portosystemic shunts. Pediatr Radiol. 2003;33:614–20.CrossRefPubMed
3.
Zurück zum Zitat De Gaetano AM, Gui B, Macis G, et al. Congenital absence of the portal vein associated with focal nodular hyperplasia in the liver in an adult woman: imaging and review of the literature. Abdom Imaging. 2004;29:455–9.CrossRefPubMed De Gaetano AM, Gui B, Macis G, et al. Congenital absence of the portal vein associated with focal nodular hyperplasia in the liver in an adult woman: imaging and review of the literature. Abdom Imaging. 2004;29:455–9.CrossRefPubMed
4.
Zurück zum Zitat Kobayashi N, Niwa T, Kirikoshi H, et al. Clinical classification of congenital extrahepatic portosystemic shunts. Hepatol Res. 2010;40:585–93.CrossRefPubMed Kobayashi N, Niwa T, Kirikoshi H, et al. Clinical classification of congenital extrahepatic portosystemic shunts. Hepatol Res. 2010;40:585–93.CrossRefPubMed
5.
Zurück zum Zitat Benedict M, Rodriguez-Davalos M, Emre S, et al. Congenital extrahepatic portosystemic shunt (Abernethy malformation type Ib) with associated hepatocellular carcinoma: case report and literature review. Pediatr Dev Pathol. 2017;20:354–62.CrossRefPubMed Benedict M, Rodriguez-Davalos M, Emre S, et al. Congenital extrahepatic portosystemic shunt (Abernethy malformation type Ib) with associated hepatocellular carcinoma: case report and literature review. Pediatr Dev Pathol. 2017;20:354–62.CrossRefPubMed
6.
Zurück zum Zitat Happaerts S, Foucault A, Billiard JS, et al. Combined hepatocellular-cholangiocarcinoma in a patient with Abernethy malformation and tetralogy of Fallot: a case report. Hepatology. 2016;64(5):1800–2.CrossRefPubMed Happaerts S, Foucault A, Billiard JS, et al. Combined hepatocellular-cholangiocarcinoma in a patient with Abernethy malformation and tetralogy of Fallot: a case report. Hepatology. 2016;64(5):1800–2.CrossRefPubMed
7.
Zurück zum Zitat Tacyildiz N, Ozdemir EG, Gordu Z, et al. Hepatocellular carcinoma with congenital absence of the portal vein in a child. J Clin Case Rep. 2015;504:2. Tacyildiz N, Ozdemir EG, Gordu Z, et al. Hepatocellular carcinoma with congenital absence of the portal vein in a child. J Clin Case Rep. 2015;504:2.
8.
Zurück zum Zitat Sharma R, Suddle A, Quaglia A, et al. Congenital extrahepatic portosystemic shunt complicated by the development of hepatocellular carcinoma. Hepatobiliary Pancreat Dis Int. 2015;14:552–7.CrossRefPubMed Sharma R, Suddle A, Quaglia A, et al. Congenital extrahepatic portosystemic shunt complicated by the development of hepatocellular carcinoma. Hepatobiliary Pancreat Dis Int. 2015;14:552–7.CrossRefPubMed
9.
Zurück zum Zitat Gordon-Burroughs S, Balogh J, Weiner MA, et al. Liver transplantation in an adult with adenomatosis and congenital absence of the portal vein: a case report. Transpl Proc. 2014;46:2418–21.CrossRef Gordon-Burroughs S, Balogh J, Weiner MA, et al. Liver transplantation in an adult with adenomatosis and congenital absence of the portal vein: a case report. Transpl Proc. 2014;46:2418–21.CrossRef
10.
Zurück zum Zitat Scheuermann U, Foltys D, Otto G. Focal nodular hyperplasia proceeds hepatocellular carcinoma in an adult with congenital absence of the portal vein. Transpl Int. 2012;25:e67–8.CrossRefPubMed Scheuermann U, Foltys D, Otto G. Focal nodular hyperplasia proceeds hepatocellular carcinoma in an adult with congenital absence of the portal vein. Transpl Int. 2012;25:e67–8.CrossRefPubMed
11.
Zurück zum Zitat Lisovsky M, Konstas AA, Misdraji J. Congenital extrahepatic portosystemic shunts (Abernethy malformation): a histopathologic evaluation. Am J Surg Pathol. 2011;35:1381–90.CrossRefPubMed Lisovsky M, Konstas AA, Misdraji J. Congenital extrahepatic portosystemic shunts (Abernethy malformation): a histopathologic evaluation. Am J Surg Pathol. 2011;35:1381–90.CrossRefPubMed
12.
Zurück zum Zitat Morotti RA, Killackey M, Shneider BL, et al. Hepatocellular carcinoma and congenital absence of the portal vein in a child receiving growth hormone therapy for turner syndrome. Semin Liver Dis. 2007;27:427–31.CrossRefPubMed Morotti RA, Killackey M, Shneider BL, et al. Hepatocellular carcinoma and congenital absence of the portal vein in a child receiving growth hormone therapy for turner syndrome. Semin Liver Dis. 2007;27:427–31.CrossRefPubMed
13.
Zurück zum Zitat Pichon N, Maisonnette F, Pichon-Lefièvre F, et al. Hepatocarcinoma with congenital agenesis of the portal vein. Jpn J Clin Oncol. 2003;33:314–6.CrossRefPubMed Pichon N, Maisonnette F, Pichon-Lefièvre F, et al. Hepatocarcinoma with congenital agenesis of the portal vein. Jpn J Clin Oncol. 2003;33:314–6.CrossRefPubMed
14.
Zurück zum Zitat Lundstedt C, Lindell G, Tranberg KG, et al. Congenital absence of the intrahepatic portion of the portal vein in an adult male resected for hepatocellular carcinoma. Eur Radiol. 2001;11:2228–31.CrossRefPubMed Lundstedt C, Lindell G, Tranberg KG, et al. Congenital absence of the intrahepatic portion of the portal vein in an adult male resected for hepatocellular carcinoma. Eur Radiol. 2001;11:2228–31.CrossRefPubMed
15.
Zurück zum Zitat Taïeb J, Castera L, Boige V, et al. Hepatocellular carcinoma complicating agenesis of the portal vein. Gastroentérol Clin Biol. 1998;22:246.PubMed Taïeb J, Castera L, Boige V, et al. Hepatocellular carcinoma complicating agenesis of the portal vein. Gastroentérol Clin Biol. 1998;22:246.PubMed
16.
Zurück zum Zitat Joyce AD, Howard ER. Rare congenital anomaly of the portal vein. Br J Surg. 1988;75:1038–9.CrossRefPubMed Joyce AD, Howard ER. Rare congenital anomaly of the portal vein. Br J Surg. 1988;75:1038–9.CrossRefPubMed
17.
Zurück zum Zitat Hu GH, Shen LG, Yang J, et al. Insight into congenital absence of the portal vein: is it rare? World J Gastroenterol. 2008;14(39):5969–79.CrossRefPubMed Hu GH, Shen LG, Yang J, et al. Insight into congenital absence of the portal vein: is it rare? World J Gastroenterol. 2008;14(39):5969–79.CrossRefPubMed
18.
Zurück zum Zitat Iñarrairaegui M, Pardo F, Bilbao JI, et al. Response to radioembolization with yttrium-90 resin microspheres may allow surgical treatment with curative intent and prolonged survival in previously unresectable hepatocellular carcinoma. Eur J Surg Oncol. 2012;38:594–601.CrossRefPubMed Iñarrairaegui M, Pardo F, Bilbao JI, et al. Response to radioembolization with yttrium-90 resin microspheres may allow surgical treatment with curative intent and prolonged survival in previously unresectable hepatocellular carcinoma. Eur J Surg Oncol. 2012;38:594–601.CrossRefPubMed
Metadaten
Titel
Radioembolization for Hepatocellular Carcinoma Arising in the Setting of a Congenital Extrahepatic Portosystemic Shunt (Abernethy Malformation)
verfasst von
Thomas Kroencke
Marcus Murnauer
Frank Alexander Jordan
Vera Blodow
Hannes Ruhnke
Tina Schaller
Bruno Märkl
Publikationsdatum
19.04.2018
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 8/2018
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-018-1965-5

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