PMC5337847_01
(a) MIP sagittal reconstruction showing portal vein calcified thrombosis. The thrombus appears as hyperdense structure occluding the portal vein lumen (red arrow). A little thrombus in the Splenic Vein is also evident (yellow arrow). (b) VR reformation showing portal vein calcified thrombosis (red arrow). The thrombus appears as hyperdense structure occluding the portal vein lumen (red arrow). Spleen (white star) and Splenorenal Shunt (white arrow) are also evident. (c) Axial view (portal phase) showing calcified thrombi partially occluding the superior mesenteric vein lumen (red arrow). (d) Axial view (portal phase) showing the Splenorenal Shunt (white arrow) behind the spleen (white star). Renal vein (red arrow) and Inferior Vena Cava (black star) dilatation is also evident. (e) VR reformation showing the Splenorenal Shunt (white arrow) among the spleen (yellow arrow) and the left kidney (white star). Renal vein (red arrow) and Inferior Vena Cava (black star) dilatation is also evident.
CRIRA2017-2167364.001.jpg
PMC5337847_01_CRIRA2017-2167364.001.jpg
fig1
Extensive calcified thrombosis causing complete occlusion of the portal vein lumen and partially occluding the proximal superior mesenteric vein (SMV) (Yerdel grade 3) was present (Figures 1(a)-1(c)) and a small calcified thrombus in the Splenic Vein (SV) lumen was also evident (Figure 1(a)). Among the spleen hilum and the left kidney a massive SRS was evident: hypodense structure in basal scans, made of tortuous tubular structures detectable in the venous phase scans (Figures 1(d) and 1(e)). The shunt had a maximum diameter of 3.25 cm and was associated with dilatation of left renal vein and Inferior Vena Cava (Figures 1(d) and 1(e)).