80 year old female, with history of cryptogenic cirrhosis, ischaemic heart disease and diabetes mellitus admitted with abdominal pain and bleeding through the colostomy of a Hartmann's procedure for a rectal carcinoma.
This patient presented with a short history of abdominal pain and bleeding from her colostomy. Relevant past medical history includes a palliative Hartmann's procedure for a rectal adenocarcinoma, cryptogenic cirrhosis with portal hypertension , Ischaemic heart disease and Diabetes Mellitus. A CT scan of the abdomen and pelvis showed no evidence of recurrent colonic malignancy or liver metastasis.
Contrast CT just proximal to bifurcation of portal vein is shown here.

















Then  duplex ultrasound scan was performed.
portal vein axial section
portal vein - sagittal section
















Idetify the abnormalities in these images and what is the most likely diagnosis?

Stumble
Delicious
Technorati
Twitter
Facebook

4 comments

  1. Anonymous Says:
  2. Portal Thrombosis

     
  3. Anonymous Says:
  4. Search for cancer...

     
  5. Anonymous Says:
  6. NAFLD

     
  7. Anonymous Says:
  8. portal vein thrombosis

     

Post a Comment

GET UPDATES!!!!

Subscribe by E-mail & receive updates your inbox!
Enter your email address:

FAN PAGE

Followers

Recent PPTs

Medical Guidelines