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Portal hypertension and venous infarction

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Severe abdominal pain. 2 previous abdominal surgeries.

Patient Data

Age: 70 years
Gender: Male

Portal hypertension with venous infarction

Case Discussion

CT demonstrates multiple varices, cavernous transformation of the portal vein and multiple small splenic vessels rather than a single splenic vein.  Features all secondary to portal hypertension.

The cause of the abdominal pain is the infarcted loop of jejunum (proved at the subsequent surgery) - venous infarction.

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