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Updated: Oct 2, 2026

Anatomical Reconstructions of the Human Cardiac Venous System using Contrast-computed Tomography of Perfusion-fixed Specimens
Published on: April 18, 2013
Computed tomographic demonstration of "coronary" collateral vein calcification and patent spleno-renal shunt--a case
Insights
Computed tomography (CT) successfully visualized hepatoma in a patient with prior portal hypertension and calcified veins. The imaging also revealed a patent splenorenal shunt and ascites, showcasing CT
Area of Science:
- Radiology
- Hepatology
- Vascular Imaging
Background:
- Portal hypertension is a serious complication often leading to vascular changes.
- Hepatoma (liver cancer) can occur in patients with chronic liver disease and portal hypertension.
Observation:
- A case involving hepatoma, treated portal hypertension, and calcification of portal and mesenteric veins was presented.
- Computed tomography (CT) was utilized for detailed visualization of the vascular structures and associated pathologies.
Findings:
- CT imaging clearly demonstrated hepatoma, calcified portal veins, collaterals, and superior mesenteric veins.
- A patent splenorenal shunt, a surgical intervention for portal hypertension, was successfully identified.
- Ascites, a common consequence of portal hypertension, was also visualized.
Implications:
- This case highlights the comprehensive diagnostic capability of CT in complex hepatobiliary and vascular conditions.
- Advanced CT techniques, including angiotomography with rapid sequential sections and multiple bolus contrast enhancement, are crucial for accurate assessment.
- Such detailed imaging aids in understanding disease progression and planning patient management.
Abstract:
A case of hepatoma associated with previously treated portal hypertension and calcification of the portal veins, collaterals, and superior mesenteric veins was demonstrated by CT, as was the patent splenorenal shunt and ascites. Computed tomography successfully demonstrated all these aspects of the case by plain scans and the use of angiotomography with rapid sequential sections using the multiple bolus technique of contrast enhancement.
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