Cavernous transformation of portal vein a missed cause of extrahepatic portal hypertension.
The portal vein thrombosis is an important and well-known cause of portal hypertension in young patients. Cavernous transformation of portal vein may be a sequel of portal vein thrombosis. Here the author reports a case of a 14-year-old boy presented with haemetemesis and melena, which was due to rupture of oesophageal varices as a result of portal hypertension. On further investigation, cavernous transformation of portal vein was identified on CT portovenogram and normal liver structure was evident on histology.
Department of Internal medicine, CSM Medical University, Lucknow, Uttar Pradesh, India. vaish12@rediffmail.com
Arvind Kumar
AK
Vaish
Nitin
N
Kumar
Nirdesh
N
Jain
Abhishek
A
Agarwal
D000293:Adolescent; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology* / Q000473:pathology; D008099:Liver / Q000098:blood supply / Q000473:pathology; D008297:Male; D011169:Portal Vein / Q000002:abnormalities / Q000473:pathology; D011172:Portography; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology