case_images: PMC5446870_01
case_images: Abdominal ultrasound (post-ERCP with stenting) showing multiple intraluminal stones in the gallbladder with thick biliary sludge and diffusely thickened wall. Biliary stent is seen with the visualized portion of distal CBD that also appears slightly dilated at the porta hepatis. Minimal central intrahepatic biliary dilatation is also seen. Status after splenectomy.
case_images: CRIM2017-4163919.001.jpg
case_images: PMC5446870_01_CRIM2017-4163919.001.jpg
case_images: fig1
case_images: Abdominal ultrasound showed gallstones, cholecystitis, and dilated bile ducts (Figure 1).
case_images: Multiple abdomen computed tomography (CT) scans showing the development of multiple collaterals in the porta hepatis replacing the portal vein, suggestive of cavernous transformation due to chronic portal vein thrombosis, in addition to multiple mesenteric and upper retroperitoneal collaterals. Multiple gallbladder stones and CBD stent are also seen. The liver is seen slightly enlarged with no detectable focal lesions. Normal enhancement of the hepatic veins. Normal size and parenchymal density of the pancreas. No detected gross masses. No detected calcification. Clear peripancreatic fat planes. Status after splenectomy.
case_images: CRIM2017-4163919.002.jpg
case_images: PMC5446870_01_CRIM2017-4163919.002.jpg
case_images: fig2
case_images: Abdominal CT showed cavernous transformation of portal vein with splenic and portal veins thrombosis, in addition to extensive collaterals at porta hepatis and around the biliary tree (Figure 2).