*47-year-old female with abdominal pain.
What is the most likely diagnosis?
Answer
Answer:
Cavernous transformation of the portal vein
Case Discussion:
CT images of abdomen revealed many serpiginous vascular structures replacing the portal vein
Cavernous transformation of the portal vein is a sequela of portal vein thrombosis and it is the replacement of the normal single channel portal vein with numerous tortuous venous channels.
References:
1. Gallego C, Velasco M, Marcuello P et-al. Congenital and acquired anomalies of the portal venous system. Radiographics. 2002;22 (1): 141-59.