EURORAD ESR

Case 2673

Portal vein stricture after orthotopic liver transplantation: Treatment with transjugular portal vein stenting

Author(s)
Sedati P, Pelle G, Paciucci L, Telesca M, Sandolo F
 
Patient
male, 62 year(s)
 
 
  • Figure 1
    Stenosis of the portal vein
     

    A contrast enhanced helical-CT image showing a significant stricture of the portal vein at the level of the surgical anastomosis after orthotopic liver transplantation, and findings consistent with portal hypertension...

     

    A contrast enhanced helical-CT image showing a significant stricture of the portal vein at the level of the surgical anastomosis after orthotopic liver transplantation, and findings consistent with portal hypertension...

     
     
     
  • Figure 2
    Interventional procedure: stent-graft placement
     

    A transjugular portal venogram obtained before TIPS placement revealing anastomotic stricture of the portal vein and gastro-oesophageal varices.

     
    Area of Interest: unknown; Imaging Technique: Interventional procedure: stent-graft placement;

    TIPS procedure: intrahepatic balloon dilatation.

     
    Area of Interest: unknown; Imaging Technique: Interventional procedure: stent-graft placement;

    A transjugular portal venogram obtained after TIPS placement revealing the stent patency.

     
    Area of Interest: unknown; Imaging Technique: Interventional procedure: stent-graft placement;

    A transjugular portal venogram obtained after TIPS placement revealing the stent patency.

     
    Area of Interest: unknown; Imaging Technique: Interventional procedure: stent-graft placement;
     
     
  • Figure 3
    Stenosis solution after TIPS placement
     

    A contrast enhanced helical-CT scan showing the solution of the portal stenosis.

     
    Area of Interest: unknown; Imaging Technique: Stenosis solution after TIPS placement;

    A contrast enhanced helical-CT scan showing the solution of the portal stenosis.

     
    Area of Interest: unknown; Imaging Technique: Stenosis solution after TIPS placement;
     
     
A contrast enhanced helical-CT image showing a significant stricture of the portal vein at the level of the surgical anastomosis after orthotopic liver transplantation, and findings consistent with portal hypertension (gastro-oesophageal varices and moderate ascites).
 
A contrast enhanced helical-CT image showing a significant stricture of the portal vein at the level of the surgical anastomosis after orthotopic liver transplantation, and findings consistent with portal hypertension (gastro-oesophageal varices and moderate ascites).
 
A transjugular portal venogram obtained before TIPS placement revealing anastomotic stricture of the portal vein and gastro-oesophageal varices.
 
TIPS procedure: intrahepatic balloon dilatation.
 
A transjugular portal venogram obtained after TIPS placement revealing the stent patency.
 
A transjugular portal venogram obtained after TIPS placement revealing the stent patency.
 
A contrast enhanced helical-CT scan showing the solution of the portal stenosis.
 
A contrast enhanced helical-CT scan showing the solution of the portal stenosis.
 
 
 
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