What are the signs of obstructed splenic venous outflow?
(1) Enlarged and convoluted collateral veins along the stomach and in a large omentum; (2) Target-water sign in walls of the stomach and colon.
The pancreas is atrophic, its outlines are shallow, clear. The structure is inhomogeneous due to calcification along the main duct.
From the tail of the pancreas, a cystic formation with a capsule up to 4 mm in thickness occurs, the contents of the liquid density + 7HU, irregularly shaped, stretched along the anterior-upper edge of the spleen to the left sub-diaphragmatic space, the capsule accumulates contrast material.
Cystic formation compresses the splenic vein in the area of the gates, Visualized enlarged and convoluted collateral veins along the stomach and in a large omentum.
The walls of the stomach and large intestine with the sign of the "target-water" due to the swelling of the submucosal layer.
The spleen is enlarged in size, the heterogeneous structure is due to a two-chamber cyst.