Skip to main content
Log in

Congenital intrahepatic portocaval shunt associated with trimethylaminuria

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

A case of congenital portalsystemic shunting due to an intrahepatic connection diagnosed by ultrasound scanning and color Doppler in an 8-month-old girl is reported. She began to manifest trimethylaminuria 3 years later. At 7 years of age, she is asymptomatic without therapeutic measures except for diet. This is the seventh reported case and the third in a child to our knowledge.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Al-Waiz M, Ayesh R, Mitchell SC, Idle JR, Smith RL (1987) A genetic polymorphism of the N-oxidation of trimethylamine in humans. Clin Pharmacol Ther 42: 588–594

    Google Scholar 

  2. Bioulac-Sage P, Saric J, Boussarie L, Balabaud Ch (1985) Congenital portacaval shunt in rats: liver adaptation to lack of portal vein. A light and electron microscopic study. Hepatology 5: 1183–1189

    Google Scholar 

  3. Gouin B, Le Gal J, Duprey J, Sanson J (1984) Anastomose congénitale portocave intrahépatique analyse des anomalies glucidiques révélatrices. Gastroenterol Clin Biol 8: 464–468

    Google Scholar 

  4. Humbert JR, Hammond KB, Hathaway WE, Marcoux JG, O'Brien D (1970) Trimethylaminuria: the fish-odour syndrome. Lancet 11: 770–771

    Google Scholar 

  5. Kerlan RK, Sollenberger RD, Palubinskas AJ, Raskin NH, Callen PW, Ehrenfeld WK (1982) Portal-systemic encephalopathy due to a congenital portocaval shunt. Am J Roentgenol 139: 1013–1015

    Google Scholar 

  6. Levesque DC, Oliver JE, Cornelius LM, Mahaffey MB, Rawlings CA, Kolata RJ (1982) Congenital portacaval shunts in two cats: diagnosis and surgical correction. J Am Vet Med Assoc 181: 143–145

    Google Scholar 

  7. Mboyo A, Lemouel A, Sohm O, Gondy S, Destuynder O, Billy B, Schirrer J, Aubert D (1995) Congenital extra-hepatic portocaval shunt. Concerning a case of antenatal diagnosis. Eur J Pediatr Surg 5: 243–245

    Google Scholar 

  8. Nakasaki H, Tanaka Y, Ohta M (1989) Congenital absence of the portal vein. Ann Surg 210: 190–193

    Google Scholar 

  9. Raskin NH, Price JB, Fishman RA (1964) Portal-systemic encephalopathy due to congenital intrahepatic shunts. N Engl J Med 270: 225–229

    Google Scholar 

  10. Raskin NH, Bredesen D, Ehrenfeld WK, Derlan RK (1984) Periodic confusion caused by congenital extrahepatic portacaval shunt. Neurology 34: 666–669

    Google Scholar 

  11. Shah R, Ford EG, Woolley MM (1992) Congenital portocaval shunt. Pediatr Surg Int 7: 216–217

    Google Scholar 

  12. Vonnahme FJ, Dubuisson L, Dubale R, Dlempnauner R, Grün M (1984) Ultrastructural characteristics of hyperplastic alterations in the liver of congenital porto caval shunt rats. Br J Exp Pathol 65: 585–596

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fernández, M.S., Gutiérrez, C., Vila, J.J. et al. Congenital intrahepatic portocaval shunt associated with trimethylaminuria. Pediatr Surg Int 12, 196–197 (1997). https://doi.org/10.1007/BF01350000

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01350000

Key words

Navigation