深井 透, 石橋 大海, 道免 和文, 工藤 二郎, 加冶 良一, 仁保 喜之

Tohru FUKAI, Hiromi ISHIBASHI, Kazufumi DOHMEN, Jiro KUDO, Yoshikazu KAJI, Yoshiyuki NIHO

九州大学医学部第一内科

The First Department of Internal Medicine, Faculty of Medicine, Kyushu University

キーワード : Arteriovenous malformation, Arteriovenous shunt, Anomaly of portal vein, Hemangioma, 2 D-Color Doppler echography

We report a case of congenital hepatic arteriovenous malformation (AVM) accompanying an anomaly of portal vein and multiple hemangioma in the liver. The AVM was initially detected as a cystic lesion by screening ultrasonography in a 52-year-old female. The lesion was examined by CT, MRI, two-dimensional color doppler echography and angiography. 2 D-color doppler echography clearly demonstrated the AVM with a mosaic-colored arteriovenous whirling pool with an afferent artery and an efferent vein, and was particularly useful in confirming AVM.