Retroperitoneal Varices

retroperitoneal varices

Axial CT abdomen shows enhancing tortuous distended vessels coursing through the retroperitoneum. This patient has known cirrhosis and portal hypertension. Retroperitoneal varices may be classified as splenorenal, gastrorenal, mesenterorenal (between superior mesenteric vein and right renal vein), mesenterogonadal (ileocolic vein to right testicular vein), and splenocaval (between splenic vein and left hypogastric vein). Other shunts include gastric, oesophageal, paraumbilical (Cruveilhier-Baumgarten syndrome), abdominal wall, omental, and intrahepatic.

Reference: Dähnert W. Radiology Review Manual, 5th edition, Lippincott, Williams & Wilkins, 2003.

Credit: Dr Laughlin Dawes