Title:Pericholecystic Varices as the Predominant Manifestation in Cryptogenic Portal
Hypertension: A Case Report
Volume: 20
Author(s): Meng Tong, Yanli Gao, Feiyu Jia and Jinghua Liu*
Affiliation:
- Department of Hepatobiliary Surgery and Minimally Invasive, Institute of Digestive Surgery and Prof. Cai's Laboratory, Linyi People's Hospital,
Linyi 276000, China
Keywords:
Portal vein hypertension, Portal vein thrombosis, Gallbladder varices, Gallbladder tumor, Abdominal imaging, Portal hypertension.
Abstract:
Background:
Portal hypertension has various manifestations, and varices are a common manifestation. Varices can appear in any vein in the body associated
with the portal venous system.
Case Presentation:
Herein, we report a case of portal hypertension with gallbladder varices as the main manifestation, which was confirmed by abdominal contrastenhanced
CT with three-dimensional reconstruction and color Doppler ultrasonography. The patient had concomitant liver cirrhosis and portal vein
thrombosis. Various auxiliary examinations and biochemical indicators of the patient confirmed liver cirrhosis, portal vein thrombosis, and portal
hypertension, all of which were mild and did not reach the decompensation stage.
Conclusion:
As illustrated by this case, when there is an embolism in certain parts of the portal system, portal hypertension can appear during the compensatory
period and transition into severe varices in the thrombotic part during the de-compensatory period.
