GALL BLADDER VARICES


This was a 48 year old gentleman , who was evaluated for generalised tiredness. His complete blood count showed pancytopenia and clinically he had mild splenomegaly.

Ultrasound examination revealed the following findings :

Hypo echoic linear spaces are seen around the gallbladder.

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Colour flow imaging of the same

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STIC HD flow image.

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Main portal vein show flow reversal ( blue colour ) – centri-fugal flow suggestive of portal hypertension.

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Mild splenomegaly with mildly dilated splenic vein is seen.

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Epigastric varices are also seen.

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This patient has cirrhosis of liver with portal hypertension – flow reversal of main portal vein , splenomegaly , mildly dilated splenic vein and varices around the gallbladder.

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