Case 50: Trans-splenic Portal Vein Venogram and Thrombectomy

Contributed by Dr. Gordon Mclennan and Kaht Dagan
22 September 2019


Middle aged male with a periportal mass, and prior admissions for GI bleeding (esophageal varices); ERCP: Biliary ductal dilation, hepatic duct mass, 2 stents, biopsies proved inconclusive of a diagnosis. Presently admitted with ascites and was found to have portal vein thrombosis extending from the SMV to the intrahepatic portal branches



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