Portal vein occlusion with cavernous transformation

Case contributed by Dr Derek Smith

Presentation

Background of haemachromatosis and bilateral hepatoma (path proven). Previous angiography confirmed portal vein occlusion, and not selected as transplant candidate.

Patient Data

Age: 60 years
Gender: Male

Edinburgh Imaging Archive

Photo

Delayed phase angiogram of hepatic vessels, demonstrating cavernous transformation of the occluded portal vein. Associated varices. 

Case Discussion

Angiography - 1980

This study demonstrates cavernous transformation and variceal formation as sequlae of portal vein occlusion, in this instance secondary to hepatic malignancy. 

Part of Edinburgh imaging archive. 

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