CAVERNOUS TRANSFORMATION OF PORTAL VEIN - A RARE CAUSE OF MASSIVE HEPATOMEGALY
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Abstract
There are very few reported cases of Cavernous Transformation of Portal Vein (CTPV) in adults. Wepresent a case of 79 years old male who was found to have this complication due to portal vein thrombosis(PVT). A 79 year old male with background history of JAK2 positive Myeloproliferative disorder (MPD)was referred with abnormal liver function tests. Patient was clinically well and asymptomatic. Duringinitial workup for his abnormal LFTs, patient was noted to have enlarged caudate lobe of liver. Furtherabdominal imaging studies showed massively enlarged caudate lobe of liver with CavernousTransformation of Portal Vein (CTPV), a very rare complication of portal venous thrombosis. Cavernoustransformation of portal vein is a very rare cause of enlarged caudate lobe of liver. The management ofCTPV is mainly symptomatic. Most of the patients are asymptomatic at presentation. Complications mostlyoccur due to portal hypertension which can be life threatening. There is no consensus on the managementof Cavernous Transformation of portal vein itself. Patients with cavernous transformation of portal veinshould be kept under regular follow up.
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