Portal vein thrombosis

Case contributed by Dr Roberto Schubert

Presentation

Portal hypertension. History of Whipple's procedure for pancreatic neoplasm.

Patient Data

Age: 70 years
Gender: Female
CT

Cirrhotic liver with massive steatosis. Pneumobilia due to biliary-enteric anastomosis. Partly calcified thrombosis of the portal vein main stem and cavernous transformation of the right branch. Portal-systemic collaterals (mainly esophageal and gastric varices, some with additional calcified thrombi). Marked splenomegaly. Para-aortic lymphadenopathy.

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