Grimbert S, Vullierme M P, Dahan P, Hammel P, Bernades P
Service de Gastroentérologie, Hôpital Beaujon, Clichy.
Gastroenterol Clin Biol. 1993;17(4):295-7.
We described the case of a 56 year-old man with cirrhosis due to hemochromatosis and who had undergone a surgical terminolateral portocaval shunt 17 years previously. The patient was admitted for jaundice. Ultrasonography initially suggested multiple intrahepatic tubular structures, interpreted as enlarged intrahepatic bile ducts. Pulsed Doppler ultrasonography demonstrated that this spectral waveform corresponded to the intrahepatic extension of a diffuse portal cavernoma. Cavernomatous transformation of portal vein should be suspected when intrahepatic tubular structures are associated with long standing portal vein thrombosis.
我们描述了一名56岁男性患者的病例，该患者因血色素沉着症导致肝硬化，17年前接受了外科端侧门腔分流术。患者因黄疸入院。超声检查最初提示肝内有多个管状结构，被解释为肝内胆管扩张。脉冲多普勒超声显示，这种频谱波形与弥漫性门静脉海绵样变的肝内延伸相对应。当肝内管状结构与长期门静脉血栓形成相关时，应怀疑门静脉海绵样变。
