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.
|Переведенное название||Possibilities of ct in detection of portal cavernoma, differential diagnosis with adenocarcinoma of the pancreatic head|
|Журнал||Russian Electronic Journal of Radiology|
|Состояние||Опубликовано - 2021|
Предметные области Scopus
- Радиология, радиационная медицина и радионуклидная визуализация
- Extrahepatic portal vein obstruction
- Portal cavernoma