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VOL. 6, ISSUE 1 (2024)
Imaging of portal gastroduodenopathy: A case report
Authors
Mallikarjunappa, Karuna Sindhu, Poornima G B, Achala Shravya, Sandhya R
Abstract
Portal Cavernoma Cholangiopathy (PCC) is a
rare condition characterized by biliary changes secondary to extrahepatic
portal vein obstruction and portal cavernoma formation. We present a case of a
40-year-old patient who presented with gastric outlet obstruction, wherein
imaging studies revealed extensive alterations involving the biliary, vascular,
and gastrointestinal systems. Computed Tomography (CT) demonstrated diffuse
circumferential symmetric thickening of the stomach wall, with measurements of
thickening noted at various regions. Additionally, mild intrahepatic and
extrahepatic biliary dilatation were observed, along with smooth narrowing of
the common bile duct, likely attributed to external compression by the portal
cavernoma. Multiple dilated tortuous porto-systemic collaterals were evident in
various regions, indicative of portal biliopathy. Concurrent findings of
cholelithiasis and possibly thrombosed hepatic artery branches further
complicated the clinical picture. This case underscores the multifaceted nature
of PCC, highlighting the importance of comprehensive imaging assessment for
accurate diagnosis and management planning.
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Pages:18-20
How to cite this article:
Mallikarjunappa, Karuna Sindhu, Poornima G B, Achala Shravya, Sandhya R "Imaging of portal gastroduodenopathy: A case report". International Journal of Radiology Research, Vol 6, Issue 1, 2024, Pages 18-20
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