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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Traumatic Portacaval Shunt: A Case Report and Literature Review by Susanna C Spence et al.

Published: 2013 Nov
Issue: 7(11) :: Pages: 1-6


Free full text article: Traumatic Portacaval Shunt:  A Case Report and Literature Review

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Abstract: Computed tomography (CT) evaluation of the acute polytrauma patient has become well established as a mainstay of ER triage in hemodynamically stable patients. The radiologist plays a pivotal role in directing management by identifying and appropriately categorizing the severity of a patient`s injuries. High-grade liver injuries have undergone an increasing trend of nonoperative management over the last several decades, with concurrent decrease in mortality. However, we present a case of a patient with a grade V liver laceration, in whom a rare portacaval shunt was also present. In the setting of this rare injury, the radiologist will likely be the first person to recognize and categorize a severe complication, which may indicate the need for a fundamental change in patient management.


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