Portal venous calcifications 20 years after portosystemic shunting

Freund, M.; Heller, Martin

doi:10.1016/s0720-048x(00)00186-8

Cited by 6 publications

(1 citation statement)

References 16 publications

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“…[1] For revealing portal vein and its tributaries, abdominal enhanced CT could improve the positive rate, and is the most sensitive examination, and showed the location and direction of portal venous calcification. [2,3] The distinctive radiographic feature of portal venous calcification is the presence of radiodensity which correspond to the course of the vein. [4] Minimal calcification may be frequently neglected on plain film radiography and pathological examination.…”

Section: Discussionmentioning

confidence: 99%

Portal and mesenteric venous calcification in patient with advanced cirrhosis

Pan¹,

Lyu²,

He³

2022

Medicine

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Rationale: The incidence of portal and mesenteric venous calcifications in patients with cirrhosis has rarely been reported. It is also very difficult to determine the vascular lesions in preoperative imaging examination. The liver cirrhosis patients associated with portal venous calcification have high postoperative complications and mortality, but poor prognosis.Patient concerns: We present a patient (45-year-old male), who was admitted to the hospital with liver cirrhosis and portal hypertension associated symptoms.Diagnoses: Abdominal imaging computed tomography confirmed the presence of calcification in the portal vein system. Interventions:The patient underwent allogeneic liver transplantation.Outcomes: The patient died 2 days after liver transplantation.Lessons: Calcification in the portal vein system is extremely rare, and always occurs in patients with long-standing liver cirrhosis with portal hypertension gastroesophageal varices and splenomegaly. The presence of portal vein calcification on computed tomography may be a sign of portal vein thrombosis, which may result in a difficult transplantation, and poor prognosis.

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