Cavernous transformation of the portal vein
Known cirrhosis, now leg swelling.
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Typical features of cirrhosis and portal hypertension including small irregular liver, marked splenomegaly, ascites and enlarged mesenteric veins. Gallstones are also noted.
Note also, the enlarged thrombosed portal vein with multiple venous collaterals in the porta hepatis indicative of so-called cavernous transformation.
1 case question available
Cavernous transformation of the portal vein refers to numerous vascular structures in the region of the portal vein, which enhance during the portal venous phase.
Leg swelling, in this case, is due to para-aortic lymphadenopathy (lymphoma) compressing the inferior vena cava.