Contrast-enhanced abdominal CT compared with splenoportography in postliver transplant with giant varix and thrombus in portal vein: Case report

Q4 Medicine Radiology Case Reports Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI:10.1016/j.radcr.2024.09.018

Jacub Pandelaki MD, PhD , Prijo Sidipratomo MD, PhD , Hanifah Oswari MD, PhD , Sastiono MD, PhD , Sahat Basana Romanti Ezer Matondang MD , Krishna Pandu Wicaksono MD, PhD , Heltara Ramandika MD , Yuzana Tiarasia MD , Kukuh Nurcahyo , Jason MD , Gideon Hot Partogi Sinaga MD

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Abstract

Imaging remains an essential aspect in evaluating patients receiving liver transplants, especially in cases of complications such as portal vein thrombosis. Several imaging modalities are available to approach portal vein thrombosis, with portography as the gold standard. However, the development of noninvasive methods such as contrast-enhanced computed tomography (CECT) is preferred nowadays due to the fewer complications in nature. This case report presented a case of a giant varix of the portal vein with thrombus in a 20-year-old male receiving living-donor liver transplant, reliably visualized in both CECT and direct splenoportography. Detailed parameters and sequences required for accurate imaging in CECT are discussed in this study.

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肝移植术后门静脉巨大静脉曲张和血栓患者的腹部对比增强 CT 与脾动脉造影的比较：病例报告

在评估接受肝移植的患者时，影像学检查仍是一个重要方面，尤其是在门静脉血栓等并发症的情况下。目前有多种成像模式可用于门静脉血栓形成的检查，其中门静脉造影术是金标准。然而，由于造影剂增强计算机断层扫描（CECT）等无创方法并发症较少，如今已成为首选。本病例报告介绍了一例接受活体肝移植的 20 岁男性门静脉巨大曲张并伴有血栓的病例，CECT 和直接脾门造影均能可靠地观察到该病例。本研究讨论了 CECT 精确成像所需的详细参数和序列。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.