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Portal and Mesenteric Venous Calcification in Patients with Advanced Cirrhosis

Vishal Verma1, David C. Cronin, II2 and Abraham H. Dachman1

1 Department of Radiology, MC 2026, University of Chicago, 5841 S. Maryland Ave., Chicago, IL 60637.
2 Department of Surgery, MC 5027, University of Chicago, Chicago, IL 60637.



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  		Fig. 1. —57-year-old man with alcoholic cirrhosis and ascites. Late-phase contrast-enhanced CT scan shows curvilinear calcification (arrow) at confluence of portal and splenic veins. Calcification mimics arterial calcification.

 


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  		Fig. 2A. —56-year-old man with alcoholic cirrhosis and ascites. Unenhanced CT scans show near-circumferential curvilinear calcification of portal vein (arrows, A) just cephalad to confluence and calcification in superior mesenteric vein (arrow, B).

 


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  		Fig. 2B. —56-year-old man with alcoholic cirrhosis and ascites. Unenhanced CT scans show near-circumferential curvilinear calcification of portal vein (arrows, A) just cephalad to confluence and calcification in superior mesenteric vein (arrow, B).

 


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  		Fig. 3A. —40-year-old man with hepatitis B-induced cirrhosis. Contrast-enhanced CT scan shows curvilinear calcification (arrow) along posterior wall of enlarged superior mesenteric vein.

 


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  		Fig. 3B. —40-year-old man with hepatitis B-induced cirrhosis. CT scan obtained cephalad to A shows calcification (arrow) in dilated and tortuous splenic vein.

 


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  		Fig. 4A. —47-year-old man with hepatitis C-induced cirrhosis who died during transplantation. Contrast-enhanced CT scan shows speckled calcification portal vein (arrow) at confluence with splenic vein.

 


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  		Fig. 4B. —47-year-old man with hepatitis C-induced cirrhosis who died during transplantation. CT scan obtained cephalad to A reveals globular calcification (arrow) along posterior wall of main portal vein.

 

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