POSSIBILITIES OF CT IN DETECTION OF PORTAL CAVERNOMA, DIFFERENTIAL
DIAGNOSIS WITH ADENOCARCINOMA OF THE PANCREATIC HEAD
Trofimova T.N.1,4, Druzina M.M.1, Belikova M.Ya.2,3
Portal cavernoma is a rare and little-known pathology in clinical practice, which can cause difficulties in differential diagnosis with malignant formations of the hepatopancreatobiliary region, in particular, adenocarcinoma of the pancreas. Purpose. We present a clinical case of portal cavernoma in a patient with suspected adenocarcinoma of the pancreatic head. Materials and methods. A 57-year-old man with a medical history of esophageal variceal bleed was admitted for follow-up examination of suspected pancreatic mass, endoscopic ultrasound (EUS) guided biopsy and a decision on surgical treatment. He underwent abdominal contrast-enhanced computed tomography (CT), which demonstrated signs of portal hypertension and chronic portal vein obstruction with formation of a portal cavernoma. Diagnosis was confirmed with EUS. Results and conclusions. Early properly put diagnosis allowed to avoid unreasonable diagnostic and surgical interventions, choose optimal patient surveillance. |
1 - Institute of the human brain of the Russian Academy of Sciences. Saint Petersburg, Russia 2 - North-western State Medical University named after I.I. Mechnikov. Saint Petersburg, Russia 3 - SPb "Hospital for War Veterans". St. Petersburg, Russia 4 – I.P. Pavlov First Saint Peterburg State Medical University. St. Petersburg, Russia
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Keywords: portal cavernoma, extrahepatic portal vein obstruction, CT.
Corresponding author: Belikova M.Ya., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript
For citation: Trofimova T.N., Druzina M.M., Belikova M.Ya. Possibilities of CT in detection of portal cavernoma, differential diagnosis with adenocarcinoma of the pancreatic head. REJR 2020; 10(4):277-283. DOI:10.21569/2222-7415-2020-10-4-277-283.
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Received: 01.07.20 Accepted: 22.09.20