Cavernous transformation of the portal vein in blood pool scintigraphy

A patient suspected of having two hepatic hemangiomas was referred to the department of nuclear medicine for verification of the diagnosis. A blood pool scintigraphy confirmed the presence of one of the hemangiomas. In addition, it revealed a region of increased activity, that corresponded with the...

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Bibliographic Details
Main Authors: Magdalena Kwapisz, Michał Włodarczyk, Zbigniew Adamczewski
Format: Article
Language:English
Published: Via Medica 2025-04-01
Series:Nuclear Medicine Review
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Online Access:https://journals.viamedica.pl/nuclear_medicine_review/article/view/105110
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Summary:A patient suspected of having two hepatic hemangiomas was referred to the department of nuclear medicine for verification of the diagnosis. A blood pool scintigraphy confirmed the presence of one of the hemangiomas. In addition, it revealed a region of increased activity, that corresponded with the cavernous transformation of the portal vein (CTPV), a rare consequence of portal vein thrombosis, diagnosed in the previous imaging studies. Due to the increased blood pool, this focal lesion imitated the image of a hemangioma. This publication aims to emphasize the importance of a carefully conducted patient interview and evaluation of other imaging studies to avoid misdiagnosis.
ISSN:1506-9680
1644-4345