EURORAD ESR

Case 10488

Thrombosis (non-tumoural) in a paraumbilical vein

Author(s)
Luísa Andrade, Ricardo Morais, Elisabete Pinto, Filipe Caseiro-Alves

Department of Radiology,
Coimbra´s University Hospital
isa.c.andrade@hotmail.com
 
Patient
male, 56 year(s)
 
 
  • Figure 1
    Ultrasound - B mode
     

    Transabdominal ultrasound demonstrating a serpiginous structure, that followed the tract of the falciform ligament and accompanied the teres ligament to the umbilicus, containing echogenic material.

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cirrhosis;

    The appearances are consistent with a recanalised paraumbilical vein arising from left portal vein, containing thrombus.

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cirrhosis;

    Left portal vein thrombus with extension to a para-umbilical vein

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cirrhosis;
     
     
  • Figure 2
    Ultrasound - Colour Doppler
     

    The lumen of a previously permeable paraumbilical vein is completely filled with hypoechoic material representing occlusive thrombus. Colour Doppler sonography revealed no colour signals within lumen of vein or within...

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Colour Doppler sonography revealed no colour signals within lumen of vein or within thrombus.

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    CT
     

    CT examination in portal venous phase showed a nonocclusive thrombus in the left portal vein. The re-canalised umbilical vein was demonstrated and did not significantly enhance.

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    CT examination in portal venous phase showed a nonocclusive thrombus in the left portal vein. The re-canalised umbilical vein was demonstrated and did not significantly enhance.

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
Transabdominal ultrasound demonstrating a serpiginous structure, that followed the tract of the falciform ligament and accompanied the teres ligament to the umbilicus, containing echogenic material.
 
The appearances are consistent with a recanalised paraumbilical vein arising from left portal vein, containing thrombus.
 
Left portal vein thrombus with extension to a para-umbilical vein
 
The lumen of a previously permeable paraumbilical vein is completely filled with hypoechoic material representing occlusive thrombus. Colour Doppler sonography revealed no colour signals within lumen of vein or within thrombus.
 
Colour Doppler sonography revealed no colour signals within lumen of vein or within thrombus.
 
CT examination in portal venous phase showed a nonocclusive thrombus in the left portal vein. The re-canalised umbilical vein was demonstrated and did not significantly enhance.
 
CT examination in portal venous phase showed a nonocclusive thrombus in the left portal vein. The re-canalised umbilical vein was demonstrated and did not significantly enhance.
 
 
 
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