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Vascular » Visceral vascular
Portal cavernoma with intrahepatic porto-venous shunt
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Presentation A 10-year-old child presents with vague pain in abdomen. An ultrasound was performed. There are two findings in this case, both need to be identified to get the quiz correct.
 
 
 
Caption: Gray scale image of left lobe
Description: An area showing cystic tubular structures is seen in the left lobe.
 
 
 
Caption: Color Doppler image of the same area in left lobe
Description: The dilated tubular structures fill with color. This is suggestive of intrahepatic porto-venous shunt.
 
 
 
Caption: Gray scale image of the porta
Description: Multiple cystic channels are seen in the porta hepatis. The main portal vein could not be identified.
 
 
 
Caption: Color Doppler image at the porta
Description: The color filled channels representing venous shunts seen again
 
 
 
Caption: Color Doppler image of the porta
Description: The multiple cystic channels fill up with color, suggestive of dilated, tortuous vessels representing a portal cavernoma.
 
Differential Diagnosis Portal cavernoma with intrahepatic porto-venous shunt
 
Final Diagnosis Portal cavernoma with intrahepatic porto-venous shunt
 
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