Radiology Teaching Files > Case 55543866

Contributed by: University Hospitals of Geneva, HUG, Switzerland.
History: Abdominal pain. No past medical history.

Fig. 1: B Mode

Fig. 2: Doppler

Fig. 3: Doppler

Fig. 4: Doppler

Fig. 5: Energy

Fig. 6: Energy

Fig. 7: CT

Fig. 8: CT

Fig. 9: CT
Findings: Numerous wormlike vessels are present in the hepatic hilum as well in the pancreatico-duodenal region. Color Doppler confirms their vascular nature. These correspond to a cavernous transformation of the portal vein secondary to a long standing thrombosis(>12 months). In the present case the thrombosis of the portal vein extended to the superior mesenteric vein. The CT correlation was excellent.
Diagnosis: Portal Cavernoma

The etiology of the portal vein and mesenteric vein thrombosis was unkown in the case presented.
Cavernous transformation of portal vein is commonly seen with cirrhosis.

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Additional Details:

Case Number: 55543866Last Updated: 2011-10-10
Anatomy: Other   Pathology: Other
Access Level: Readable by all users
Keywords: disim radiologie, hug, terminée, english

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