In this educational exhibit we propose to achieve these objectives: To recognize the imaging appearance of cavernous transformation of portal vein; – To. While, ascites is a common sign in patients with POEMS, it is unfrequently associated with portal cavernomatosis and portal hypertension. We report a case of a. Rev Esp Enferm Dig. Mar;(3) Portal hydatid with secondary cavernomatosis. Rodríguez Sanz MB(1), Roldán Cuena MD(2), Blanco Álvarez.

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PVT eliminates the venous flow signal normally obtained from the lumen of the portal vein during either pulsed duplex or color flow Doppler imaging Fig. IV segment Ipertrophy arrows.

Oortal with the various imaging findings and the clinical features is crucial for their accurate diagnosis and the appropriate management. Bartolotta 1S.

Portal hydatid with secondary cavernomatosis.

A bone marrow biopsy showed hyperplasia and dysplastic changes, with erythroid predominance and mild plasmacytosis of 4. Flow cavernomaatosis generally hepatopetal and continuous with little if any respiratory or cardiac variation 4.


Castleman disease, osteosclerotic inju ries and the elevated vascular endothelial growth factor VEGF. Case 4 Case 4.

Case 9 Case 9. Typically these changes are:.

Haouari 3N. Aldana Silva 1N.

[Portal hypertension due to cavernomatosis of the portal vein].

Picone 1G. In addition to direct visualization of the dilated vessels, the resultant portal hypertension results in other frequent changes: Sonography usually shows PVT as a hyperechoic lesion within the lumen of the portal vein. Picone 1S. There are two kinds of third A computed tomography cavernokatosis the thorax and abdomen showed the presence of hepatosplenomegaly, portal cavernoma with abundant ascitic fluid and a 15mm adenomegaly located in the right inguinal region Figure 1.

MRI is also a proven method for imaging the portal venous system and may be used as a complementary or alternative modality to CT. Following thrombosis, the portal vein may or may not re-canalize. These vessels drain cavernlmatosis into the left and right portal veins or cavernomatsois distally into the liver. Pellegrino 1G.

[Portal hypertension due to cavernomatosis of the portal vein].

Dimarco 1M. In patients whose portal vein does not recanalize, or only partially re-canalizes, collateral veins thought to be paracholedochal veins dilate and become serpiginous. Previos Tumores neuroendocrinos de colon y recto.


Cavernous transformation appears as numerous tortuous vessels occupying the portal vein bed. There was progression of ascites, lower limbs edemas and developed skin hyperpigmentation, with predominance on the face, extremities, and mucous membranes. Caruana 1M. What to look for?

On physical cavernmoatosis, moderate abdominal ascites and hepatosplenomegaly was present only. However, a part of the splanchnic venous flow does not join the portal vein in the extrahepatic portion: Trujillo Calderon 2J.

Case report. Portal cavernomatosis as presentation of POEMS syndrome

Their mycrobiological cultures and CRP for Mycobacterium tuberculosis and Histoplasma capsulatum were negative. Doppler examination can be carried out at the same time to evaluate for portal hypertension.

For a discussion of demographics and presentation, please refer to the article on portal vein thrombosis.