Case Report: Varyingand Unique Symptomatic Presentations of Congenital Intrahepatic Portosystemic Venous Shunts.

Background and Clinical Significance: Intrahepatic portosystemic venous shunts (IPSVSs) are rare hepatic vascular malformations that occur when there is an abnormal communication between the hepatic and portal veins. IPSVSs can be acquired or congenital, with the latter being the most common. Case Presentation: In this manuscript, we report two cases of symptomatic IPSVSs that were likely congenital in etiology and varied in presentation. The shunts were diagnosed using ultrasound, CT, and MRI, followed by successful treatments with transcatheter embolization procedures. Conclusions: This report highlights the high degree of symptomatic variance that can be seen in patients with symptomatic IPSVSs, as each case presented with different symptomatic features, while also reinforcing the notion that the use of ultrasound, CT, and MRI is of high importance when trying to diagnose IPSVSs. In addition, this article also adds to the existing literature that transcatheter embolization is a valuable therapeutic approach for symptomatic IPSVSs.