PORTAL VEIN TlIROMBOSIS (PVT) or thrombosis of its tributaries has been a formidable surgical challenge in orthotopic hepatic transplantation (OHT). At one time, PVT was considered a relative contraindication for OHT. However, refinements of the technique to reconstruct the portal vein after thrombosis have included venous grafting procedures (1, 2). The technique of the venous "jump" graft fro...

BACKGROUND Prepancreatic postduodenal portal vein is extremely rare, with only 13 cases reported in the literature. CASE PRESENTATION A 55-year-old white woman presented to our emergency department with abdominal pain. She underwent a computed tomography of her abdomen, which showed a portal vein coursing anterolaterally to her pancreas and posteriorly to the first portion of her duodenum, co...

This report presents the case of a 78-year-old female with hepatic encephalopathy due to an inferior mesenteric venous-inferior vena cava shunt. She developed hepatocellular carcinoma affected by hepatitis C virus-related cirrhosis and underwent posterior sectionectomy. Portal vein thrombosis developed and the portal trunk was narrowed after hepatectomy. Portal vein thrombosis resulted in high ...

Dear Editor, I read with great interest the pictorial essay entitled “Cross-sectional imaging of congenital and acquired abnormalities of the portal venous system” by Özbayrak and Tatlı in November-December 2016 issue of Diagnostic and Interventional Radiology (1). The authors are to be congratulated for their effort on giving detailed information about the abnormalities of the portal venous sy...

INTRODUCTION In adult living donor liver transplantation (LDLT), maintenance of adequate portal inflow is essential for the graft regeneration. Portal inflow steal (PFS) may occur due to presence of huge spontaneous porto-systemic collaterals. A surgical procedure to increase the portal inflow is rarely necessary in adult LDLT. PRESENTATION A 52 years male patient with end-stage liver disease...

Given the widespread use of transjugular intrahepatic portosystemic shunt (TIPS) creation for the treatment of portal hypertensive complications, a working knowledge of portal venous anatomy is critical for interventional radiologists. The right portal vein - which is most commonly accessed during TIPS - is subject to various anatomic variants that may potentially impact procedure success. This...

Cavernomatous transformation of portal vein (CTPV) is characterized by a collateral network of veins in the hepatic hilum that bypasses an obstructed or occluded extrahepatic portal vein. We report a case of CTPV, 25 years after splenectomy in a 39-year-old man with acute and chronic blood loss from duodenal vascular ectasia without esophageal or gastric varices or portal hypertensive gastropat...

Extensive thrombosis of the portal and splenomesenteric veins combined with cavernous transformation of the portal vein (CTPV) has been considered to be a contraindication for living donor liver transplantation (LDLT) due to technical difficulties and perioperative risks. In recent years, several surgical innovations including cavoportal hemitransposition, renoportal anastomosis, and portal art...

Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse po...