Role of ultrasonography in early Dx of congenital extrahepat
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A 1-year-old male presented to our unit for ultrasonography of the abdomen with complaints of fever and diarrhea for 2 days to rule out mesenteric adenitis. The clinical examination was normal, with no signs of dehydration. There was no significant clinical history. On ultrasonography, the bowel was normal and there was no mesenteric adenitis. Incidentally, he was found to have a small-sized portal vein arising from the side of the splenomesenteric venous confluence. There was a vessel noted along the left side of the aorta. This vessel was seen as a continuation of the splenomesenteric venous confluence and had a curved course, extending posterior to the pancreas, splenic vessels and ending in the left renal vein. Duplex Doppler sonography showed venous flow towards the left renal vein. The flow in the small portal vein was low and in the hepatopetal direction. The liver appeared normal in size and texture and there were no secondary signs of portal hypertension such as splenomegaly or ascites. Based on the features described, a diagnosis of congenital extrahepatic portosystemic shunt (CEPS) Type II was made.

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