ARUN GUPTA, GAURAV GANGWANİ, NAİMİSH MEHTA, NİSHANT WADHWA, SAMARJİT GHUMAN, AJİT YADAV
Experimental and Clinical Transplantation - 2020;18(2):261-264
In patients with complete portal vein thrombosis, the main portal vein is obstructed, resulting in devel - opment of hepatopetal collateral vessels. In cases of complete portal vein thrombosis, interventional procedures are challenging, with the greatest difficulty in the form of passing the guide wire across the level of obstruction. A recognizable main portal vein remnant has been deemed as a mandatory criterion in previous reports. Here, we report a case of cavernous trans - formation of the portal vein in a pediatric patient after liver transplant who had no obvious detectable portal vein remnant on radiologic imaging. Using digital subtraction angiography, we were successful in passing a guide wire through the level of obstruction and placing a stent, thus causing successful reca - nalization of the occluded segment.
