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Open AccessArticle10.1155/2014/675812

Abernethy Malformation: Congenital Absence of the Portal Vein

Lukasz Kwapisz,Malcolm Wells,Bandar Al-Judaibi-2014-01-01-Canadian Journal of Gastroenterology and Hepatology
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TL;DRAbstract

A 20-year-old previously well man presented with unintentional 6.75 kg (15 lb) weight loss over a six-month period, vague abdominal discomfort and bilateral patchy rash. Blood work was notable for elevations in alanine aminotransferase (75 U/L [normal range <41 U/L]), aspartate aminotransferase (101 U/L [<40 U/L]), alkaline phosphatase (310 U/L [40 U/L to 129 U/L]) and total bilirubin (15.7 mol/L [3.4 mol/L to 17 mol/L]) levels. An abdominal ultrasound revealed hepatic nodules.

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A 20-year-old previously well man presented with unintentional 6.75 kg (15 lb) weight loss over a six-month period, vague abdominal discomfort and bilateral patchy rash. Blood work was notable for elevations in alanine aminotransferase (75 U/L [normal range <41 U/L]), aspartate aminotransferase (101 U/L [<40 U/L]), alkaline phosphatase (310 U/L [40 U/L to 129 U/L]) and total bilirubin (15.7 mol/L [3.4 mol/L to 17 mol/L]) levels. An abdominal ultrasound revealed hepatic nodules.

Keywords

MedicinePortosystemic shuntInferior vena cavaMesenteric VeinAlkaline phosphataseSplenic veinVeinRadiology

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