A CYSTIC STRUCTURE IN CONNECTION TO PORTAL VEIN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 24 YO LADY PATIENT IN ROUTINE ABDOMINAL ULTRASOUND SCANNING.


IN EPIGASTRIC LONGITUDINAL, US SCAN DETECTED A CYSTIC STRUCTURE ALONG ABDOMINAL AORTA.

THIS CYST IS CONNECTED TO PORTAL VEIN.

SPECTRAL FLOW ANALYSIS IS A VENOUS FLOW PATTERN.

MSCT WITH CE= CROSS SECTION AND MIP PICTURE.

WHAT IS YOUR EXPLANATION AND TREATMENT PROPOSAL FOR HER?
UPDATE=
IN 3d reconstruction MSCT ANGIO WITH MIP= the left ovary vein is too big and connected to SMV.  IT  CAUSES DILATATION SMV.

IT IS A CONGENITAL PORTO-CAVA SHUNT WITHOUT CLINICAL SYMPTOM AND NO NEED INTERVENTION..

CAUTION = DURING SCANNING ABDOMEN, SONOLOGIST MUST KNOW SOME VARIATIONS AND TRY MAKING THAT CLEAR BY MSCT.