Cavernous transformation of the portal vein
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Vincent Tatco had no recorded disclosures.View Vincent Tatco's current disclosures
Upper gastrointestinal bleeding secondary to esophageal varices
Loading Stack -
0 images remaining
The main portal vein is not demonstrated. Instead, multiple serpentine enhancing collateral vessels are seen in the peripancreatic region and porta hepatis indicative of cavernous transformation of the portal vein. Draining into the collateral vessels are the dilated splenic and left gastric veins. The superior mesenteric vein and its tributaries are likewise dilated and appear to be drained by the dilated pancreaticoduodenal vein which eventually drains into the aforementioned collaterals. Paraesophageal, esophageal, and gastric varices are demonstrated. The non-dilated inferior mesenteric vein gradually tapers near the pancreas and eventually drains into the small caliber collaterals. The right and left intrahepatic branches of the portal vein are attenuated, more severe in the left.
The liver shows atrophic left lobe with hypertrophy of the caudate lobe.
The spleen is markedly enlarged (splenomegaly).
This case demonstrates the typical appearances of cavernous transformation of the portal vein in a pediatric patient with chronic portal vein occlusion.
1 article features images from this case
20 public playlists include this case
- Abdomen by Tamer Ghorab
- wrapup by Blake Milton
- favourite by mahmoud
- Peds by Taimur
- Liver by Baragan Paul-Gabriel
- Vas-3 by tuanleminh ◉
- GIT by Ahmed Emira
- kejsy 13 by Lech Gradziński
- Pediatrics by Kwadwo Antwi
- FMH2 - Ped by Guillaume Fahrni
- GI by Taimur
- 27 feb by Tamer Ghorab
- Paeds - Abdo & Pelvis by Siobhan Lee
- GI14-P7All by tuanleminh ◉
- Casos by hans saravia
- Liemy by Mohammed Assar
- A short 2021 by Abdullah Hajar
- Vas-2 by tuanleminh ◉
- vakalar by adler
- Liver and biliary tree by Rochelle Marie Lamb