PMC4712199_01
A computerized axial tomography (CAT scan) of the abdomen and pelvis with intravenous contrast and ultrasound Doppler studies showed splenomegaly with acute thrombosis of the proximal main portal vein at the confluence of the superior mesenteric vein (SMV) and splenic vein. No hepatic abnormalities were identified to suggest cirrhosis, infarct, abscess or cavernous transformation.
gr1.jpg
PMC4712199_01_gr1.jpg
fig0005
A computerized axial tomography (CAT scan) of the abdomen and pelvis with intravenous contrast and ultrasound Doppler studies showed splenomegaly with acute thrombosis of the proximal main portal vein at the confluence of the superior mesenteric vein (SMV) and splenic vein (Fig. 1).
Venography revealed the presence of cavernous transformation of the portal vein.
gr2.jpg
PMC4712199_01_gr2.jpg
fig0010
At this point, venography revealed the presence of cavernous transformation of the portal vein (Fig. 2).
Transhepatic endovascular thrombolysis was attempted to mitigate the thrombotic disease, and was successful in recanalizing the porto-mesenteric veins.
gr3.jpg
PMC4712199_01_gr3.jpg
fig0015
Transhepatic endovascular thrombolysis was attempted to mitigate the thrombotic disease, and was successful in recanalizing the porto-mesenteric veins (Fig. 3).