EURORAD ESR

Case 15175

Portal cavernomatous cholangiopathy

Author(s)
António Caetano, Tiago Bilhim, Filipe Veloso Gomes, Élia Coimbra

Hospital Curry Cabral, Centro Hospitalar Lisboa Central
 
Patient
female, 34 year(s)
 
 
  • Figure 1
    Portal venous collateralisation
     

    Post-contrast CT axial slice showing extensive portal venous collateralisation at the porta hepatis.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Shunts; Special Focus: Obstruction / Occlusion;

    Post-contrast CT coronal reconstruction showing extensive gallbladder varices.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Shunts; Special Focus: Pathology;
     
     
  • Figure 2
    Portal cavernomatous cholangiopathy
     

    Post-contrast CT axial slice showing intra-hepatic bile duct dilation, most prominent at the left intra-hepatic ducts. Also, gastric varices are seen at the small curvature.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Shunts; Special Focus: Pathology;

    Post-contrast CT coronal oblique reconstruction showing extra-hepatic bile duct ectasia, with irregularity of the wall due to bulging of the venous plexus dilation. Note the striking gallbladder and peri-choledochal...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Shunts; Special Focus: Pathology;
     
     
  • Figure 3
    Portal cavernomatous cholangiopathy
     

    Colour Doppler ultrasound showing gallbladder varices.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Shunts; Special Focus: Pathology;

    Colour Doppler ultrasound showing gallbladder varices.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Shunts; Special Focus: Pathology;

    Colour Doppler ultrasound showing portal venous collateralisation at the porta hepatis surrounding the extra-hepatic bile duct.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Shunts; Special Focus: Pathology;
     
     
Post-contrast CT axial slice showing extensive portal venous collateralisation at the porta hepatis.
 
Post-contrast CT coronal reconstruction showing extensive gallbladder varices.
 
Post-contrast CT axial slice showing intra-hepatic bile duct dilation, most prominent at the left intra-hepatic ducts. Also, gastric varices are seen at the small curvature.
 
Post-contrast CT coronal oblique reconstruction showing extra-hepatic bile duct ectasia, with irregularity of the wall due to bulging of the venous plexus dilation. Note the striking gallbladder and peri-choledochal varices constricting the common bile duct.
 
Colour Doppler ultrasound showing gallbladder varices.
 
Colour Doppler ultrasound showing gallbladder varices.
 
Colour Doppler ultrasound showing portal venous collateralisation at the porta hepatis surrounding the extra-hepatic bile duct.
 
 
 
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