Presentation
Abdominal pain.
Patient Data
Age: 25 years
Gender: Male
From the case:
Portal venous varix
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Focal aneurysmal dilatation of the portal vein at its bifurcation. No filling defect.
Abnormal elongation of left liver lobe crossing to the opposite side encompassing the spleen, consistent with beaver tail liver.
Right indirect inguinal hernia transmitting omentum, reaching the right scrotal neck.
There is an incidental abnormality of the bowel with right-sided small bowel (including D-J flexure) and left-sided large bowel. Appearances are of non-rotation.
Case Discussion
Radiological features are consistent with portal venous varix.
Portal venous varix is extremely rare; most patients are asymptomatic.
Diagnosis can be made when the portal vein exceeds 20 mm in diameter.
Incidental bowel non-rotation.
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