{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:24:33Z","timestamp":1777944273303,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T00:00:00Z","timestamp":1654646400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Cavernous transformation of the portal vein, although a hepatic condition, may manifest with clinical features similar to those in patients with gastrointestinal pathologies. Particularly in young patients with no prior history of alcoholism or hepatic pathology, the diagnosis of cavernous transformation of the portal vein may be missed in an emergency setting where patients\u2019 reported symptoms may be mimicking those associated with bleeding peptic ulcer or other gastrointestinal pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report:<\/jats:title>\n                    <jats:p>We present a case of a 22-year-old male with no prior history of hepatic or pancreatic pathology who presented to the emergency room with some episodes of haematemesis, melena and slight dizziness, in whom a cavernous transformation of the portal vein was identified by abdominal duplex ultrasonography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The clinical diagnosis of cavernous transformation of the portal vein can be challenging and easily missed especially in instances where a patient with no history of chronic alcoholism, liver cirrhosis, hepatoma, pancreatitis or prior abdominal surgery presents to the emergency room with haematemesis and anaemia. Ultrasonography presents as a reliable radiological tool in the diagnosis of rare and unforeseen conditions like cavernous transformation of the portal vein to allow for prompt management and prevention of adverse patients\u2019 outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Abdominal duplex ultrasonography can reliably aid in the prompt diagnosis and management of patients with unforeseen rare hepatic pathologies such as cavernous transformation of the portal vein who present with upper gastrointestinal bleeding.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1742271x221098186","type":"journal-article","created":{"date-parts":[[2022,6,8]],"date-time":"2022-06-08T07:09:41Z","timestamp":1654672181000},"page":"56-60","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Detection of Cavernous Transformation of the Portal Vein in a 22-year-old Male with Upper Gastrointestinal Bleeding by Abdominal Duplex Ultrasonography: A Case Report"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9457-4221","authenticated-orcid":false,"given":"Joseph","family":"Arkorful","sequence":"first","affiliation":[{"name":"University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"},{"name":"Department of Medical Diagnostics, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"},{"name":"Department of Imaging Technology & Sonography, College of Health and Allied Sciences, University of Cape Coast, Cape-Coast, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2365-6769","authenticated-orcid":false,"given":"Theophilus Kofi","family":"Adu \u2013 Bredu","sequence":"additional","affiliation":[{"name":"Department of Medical Diagnostics, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"},{"name":"Department of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obed","family":"Otoo","sequence":"additional","affiliation":[{"name":"Department of Medical Diagnostics, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,8]]},"reference":[{"key":"bibr1-1742271X221098186","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.165.5.7572494"},{"key":"bibr2-1742271X221098186","doi-asserted-by":"publisher","DOI":"10.1111\/apt.13019"},{"key":"bibr3-1742271X221098186","first-page":"892","volume":"53","author":"Chang C-Y","year":"2006","journal-title":"Hepatogastroenterology"},{"key":"bibr4-1742271X221098186","first-page":"81","volume":"4","author":"Ramos R","year":"2012","journal-title":"J Clin Med Res"},{"key":"bibr5-1742271X221098186","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-3231.2004.00890.x"},{"key":"bibr6-1742271X221098186","first-page":"e5779","volume":"11","author":"Nasim 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