Contrast-enhanced abdominal CT compared with splenoportography in postliver transplant with giant varix and thrombus in portal vein: Case report

• Published in: Radiology case reports Vol. 19; no. 12; pp. 6297 - 6301
• Main Authors: Pandelaki, Jacub, Sidipratomo, Prijo, Oswari, Hanifah, Sastiono, Matondang, Sahat Basana Romanti Ezer, Wicaksono, Krishna Pandu, Ramandika, Heltara, Tiarasia, Yuzana, Nurcahyo, Kukuh, Jason, Sinaga, Gideon Hot Partogi
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.12.2024; Elsevier
• Subjects: Case Report; Contrast-enhanced CT; Liver transplant; Portal vein thrombus; Splenoportography; Varix of the portal vein; Contrast-enhanced CT; Liver transplant; Portal vein thrombus; Splenoportography; Varix of the portal vein
• ISSN: 1930-0433; 1930-0433
• DOI: 10.1016/j.radcr.2024.09.018

Imaging remains an essential aspect in evaluating patients receiving liver transplants, especially in cases of complications such as portal vein thrombosis. Several imaging modalities are available to approach portal vein thrombosis, with portography as the gold standard. However, the development of noninvasive methods such as contrast-enhanced computed tomography (CECT) is preferred nowadays due to the fewer complications in nature. This case report presented a case of a giant varix of the portal vein with thrombus in a 20-year-old male receiving living-donor liver transplant, reliably visualized in both CECT and direct splenoportography. Detailed parameters and sequences required for accurate imaging in CECT are discussed in this study.