Radiology Teaching Files > Case 55543852

Contributed by: University Hospitals of Geneva, HUG, Switzerland.
History: Perturbation of liver enzymes in an epileptic patient

Fig. 1: B Mode

Fig. 2: Doppler

Fig. 3: Doppler

Fig. 4: Energy
Findings: The liver is of normal size and presents a homogenous parenchyma. Bile ducts are not dilated. At the hepatic hilum, multiple tubular cystic structures are noted and on doppler they present a monophasic hepatopetal venous flow. These findings are consistent with a portal caveroma. The etiology of the portal vein thrombosis was not found
Diagnosis: Portal cavernoma
Discussion: Portal vein thrombosis has been associated with a number of conditions including malignancy, chronic pancreatitis, hepatitis, septicemia, trauma, splenectomy, and hypercoagulable states. In neonates, umbilical vein catheterization, omphalitis and acute dehydration are predisposing conditions. Cavernous transformation of the portal vein refers to numerous wormlike vessels at the porta hepatis and represent periportal collateral circulation. This pattern is seen in long standing disease(>12 months) and is more frequent with benign disease.
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Additional Details:

Case Number: 55543852Last Updated: 2011-10-10
Anatomy: Other   Pathology: Other
Access Level: Readable by all users
Keywords: disim radiologie, hug, terminée, english

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