Case Report: Management of a congenital intrahepatic portosystemic shunt with portal vein aneurysm in a child using 3D computer-assisted partial right hepatectomy

Yao Liu; Johan Arief; Wenli Xiu; Xiwei Hao; Feifei Wang; Nan Xia; Qian Dong

doi:10.3389/fped.2024.1429537

Case Report: Management of a congenital intrahepatic portosystemic shunt with portal vein aneurysm in a child using 3D computer-assisted partial right hepatectomy

Front Pediatr. 2024 Oct 28:12:1429537. doi: 10.3389/fped.2024.1429537. eCollection 2024.

Authors

Yao Liu^#^{1

2}, Johan Arief^#^{1

2}, Wenli Xiu^{1

2}, Xiwei Hao¹, Feifei Wang², Nan Xia^{2

3}, Qian Dong^{1

2}

Affiliations

¹ Department of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
² Shandong Provincial Key Laboratory of Digital Medicine and Computer-Assisted Surgery, Qingdao, China.
³ Institute for Digital Medicine and Computer-Assisted Surgery in Qingdao University, Qingdao, China.

^# Contributed equally.

Abstract

Congenital portosystemic shunts (CPSS) are rare pediatric vascular malformations characterized by abnormal development of the portal vein, which is attributed to incomplete embryonic remodeling of the hepatic and surrounding vasculature. CPSS manifests in two main forms: intrahepatic and extrahepatic. This study details the management of a pediatric patient diagnosed with Congenital Intrahepatic Portosystemic Shunt (CIPS) who was referred to our institution. By using a computer-assisted surgical system, the right hepatectomy was successfully performed, guided by precise intraoperative navigation based on three-dimensional reconstructions of enhanced CT imagery. The patient exhibited a favorable postoperative recovery trajectory, with the absence of complications or recurrence throughout the monitoring period.

Keywords: 3D computer assisted surgery; Congenital Intrahepatic Portosystemic Shunts; aneurysm; case report; partial right hepatectomy.

Publication types

Case Reports

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. We acknowledge the financial support from Shandong & Chongqing Science and Technology Cooperation Project (CSTB2023TIAD-LDX0029), which provided the necessary resources for this project.