Professor Dr.Zaheer Mustafa, DR.Hamna Abdul Wahid


 Obliterative portal venopathy  ( OPV ) is one of the major causes of non-cirrhotic portal hypertension. This condition is erroneously diagnosed as cirrhotic portal hypertension secondary to chronic liver disease. Histologically characterized by obliteration of small portal venous branches and a resultant increase in splanchnic circulation causing portal hypertension.  Liver functions are well preserved. Symptoms primarily occur due to variceal bleeding. OPV has distinct early and advanced stages: its late stage is marked by hepatic de-compensation which poses a diagnostic hurdle mimicking cirrhotic hepatic de-compensation on imaging. Although OPV is diagnosed on biopsy however certain imaging characteristics can be attributed to this condition along with lab and history co-relation which are discussed in detail in the case reported here.

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