Presentation
Abdominal pain and jaundice.
Patient Data
Age: 70 years
Gender: Female
From the case:
Cavernous transformation of the portal vein
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Info
The gallbladder is not seen at anatomical location due to prior resection.
Intra and extra hepatic bile ducts are dilated and CBD measured 15 mm in maximum caliber. An 18 mm hyperdense lesion is noted at distal of CBD inferring stone.
There are several vascular structures in the region of the portal vein consistent with cavernous transformation of the portal vein and causing mass effect on mid portion of CBD.
The spleen is enlarged and its cephalocaudal height measured 158 mm.
Case Discussion
Cavernous transformation of the portal vein is a sequela of portal vein thrombosis and is the replacement of the normal single channel portal vein with numerous tortuous venous channels.
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