Giant Splenorenal Shunt in a Young Patient with Autoimmune Hepatitis/Primary Biliary Cholangitis Overlap Syndrome and Portal Vein Thrombosis

Figure 1

(a) MIP sagittal reconstruction showing portal vein calcified thrombosis. The thrombus appears as hyperdense structure occluding the portal vein lumen (red arrow). A little thrombus in the Splenic Vein is also evident (yellow arrow). (b) VR reformation showing portal vein calcified thrombosis (red arrow). The thrombus appears as hyperdense structure occluding the portal vein lumen (red arrow). Spleen (white star) and Splenorenal Shunt (white arrow) are also evident. (c) Axial view (portal phase) showing calcified thrombi partially occluding the superior mesenteric vein lumen (red arrow). (d) Axial view (portal phase) showing the Splenorenal Shunt (white arrow) behind the spleen (white star). Renal vein (red arrow) and Inferior Vena Cava (black star) dilatation is also evident. (e) VR reformation showing the Splenorenal Shunt (white arrow) among the spleen (yellow arrow) and the left kidney (white star). Renal vein (red arrow) and Inferior Vena Cava (black star) dilatation is also evident.

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