Acute paraumbilical vein recanalization: an unusual complication of acute pancreatitis
Open Access
- 1 March 2015
- journal article
- Published by British Institute of Radiology in BJR|case reports
- Vol. 1 (1), 20150021
- https://doi.org/10.1259/bjrcr.20150021
Abstract
Acute pancreatitis is associated with a number of well-known complications and imaging findings. Spontaneous recanalization of the paraumbilical veins as a consequence of pancreatitis in a patient with an otherwise normal liver is, however, a rare entity. This case report depicts this unusual complication as a consequence of gallstone pancreatitis in a patient with a non-cirrhotic liver and no clinical or radiological evidence of portal hypertension. There was recanalization of the paraumbilical veins followed by thrombosis, which is believed to have propagated in a retrograde fashion into distal branches of the otherwise patent portal vein. A literature search for similar cases such as this has yielded no results. Although rare, clinicians and radiologists alike need to be aware of this finding. This case discussion highlights the embryology and anatomy of the paraumbilical veins, as well as discusses the management of paraumbilical and portal vein thrombosis.Keywords
This publication has 9 references indexed in Scilit:
- Portal Vein ThrombosisThe American Journal of Medicine, 2010
- Management of portal vein thrombosis.2008
- Vascular Development and Differentiation During Human Liver OrganogenesisThe Anatomical Record, 2008
- Transient Hepatic Attenuation Differences in Focal Hepatic Lesions: Dynamic CT FeaturesAmerican Journal of Roentgenology, 2005
- Transient hepatic attenuation differences (THAD) not connected to focal lesions.2002
- Diagnosis of portal vein thrombosis in patients with hepatocellular carcinoma: efficacy of color Doppler sonography compared with angiography.American Journal of Roentgenology, 1993
- Sonographic features of portal vein thrombosisAmerican Journal of Roentgenology, 1985
- The recanalized umbilical vein in portal hypertension: a mythAmerican Journal of Roentgenology, 1985
- Recanalized umbilical vein in portal hypertensionAmerican Journal of Roentgenology, 1982