Возможности кт в выявлении портальной каверномы, дифференциальной диагностике с аденокарциномой головки поджелудочной железы

T. N. Trofimova, M. M. Druzina, M. Ya Belikova

Research outputpeer-review

Abstract

Portal cavernoma is a rare and little-known pathology in clinical practice, which can cause difficulties in differential diagnosis with malignant formations of the hepatopancreatobiliary region, in particular, adenocarcinoma of the pancreas. Purpose. We present a clinical case of portal cavernoma in a patient with suspected adenocarcinoma of the pancreatic head. Materials and methods. A 57-year-old man with a medical history of esophageal variceal bleed was admitted for follow-up examination of suspected pancreatic mass, endoscopic ultrasound (EUS) guided biopsy and a decision on surgical treatment. He underwent abdominal contrast-enhanced computed tomography (CT), which demonstrated signs of portal hypertension and chronic portal vein obstruction with formation of a portal cavernoma. Diagnosis was confirmed with EUS. Results and conclusions. Early properly put diagnosis allowed to avoid unreasonable diagnostic and surgical interventions, choose optimal patient surveillance.

Translated title of the contributionPossibilities of ct in detection of portal cavernoma, differential diagnosis with adenocarcinoma of the pancreatic head
Original languageRussian
Pages (from-to)277-283
Number of pages7
JournalRussian Electronic Journal of Radiology
Volume10
Issue number4
DOIs
Publication statusPublished - 2021

Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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