Portal vein occlusion with aberrant left gastric vein functioning as a hepatopetal collateral pathway.
A rare case of an aberrant left gastric vein functioning as a hepatopetal collateral as a result of portal vein occlusion is presented herein. The portal venous phase of multislice computed tomography clearly demonstrated this anatomic variation and provided a reliable vascular "road map" for percutaneous transhepatic portal venous stent placement. Portal hypertension associated with extensive gastrojejunal varices improved dramatically after stent placement.
Ishigami
Kousei
K
Department of Radiology, University of Iowa Carver College of Medicine, 3885 JPP, 200 Hawkins Drive, Iowa City, Iowa 52242-1077, USA. kousei-ishigami@uiowa.edu
Sun
Shiliang
S
Berst
Matthew J
MJ
Heery
Scot D
SD
Fajardo
Laurie L
LL
D000328:Adult; D000800:Angioplasty, Balloon / Q000379:methods; D003097:Collateral Circulation / Q000502:physiology*; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology* / Q000628:therapy; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D016577:Pancreaticoduodenectomy / Q000009:adverse effects; D011168:Portal System / Q000000981:diagnostic imaging / Q000503:physiopathology; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology*; D011172:Portography; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D015607:Stents; D013270:Stomach / Q000098:blood supply* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods; D017211:Treatment Failure