Sonographic detection of large spontaneous spleno-renal shunts and its clinical significance

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Abstract
The ultrasonographic findings of large spleno-renal shunts, seen in 5 patients with liver cirrhosis and confirmed by CT [computed tomography] and/or portography are described. These spleno-renal shunts were seen in the left inter- or subcostal sections as transonic, mass-like lesions located between the splenic hilum and the left kidney; by continuous scanning, they were found to be part of a tortuous, large tubular structure. Esophageal varices were absent or minimal in these patients; none of them had ever bled.

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