ABSTRACT
Cavernous transformation of the portal vein (CTPV) is a rare condition characterized by the formation of multiple tortuous tiny blood vessels within and around a portal vein which has been occluded by thrombus. Early diagnosis of CTPV is relevant for timely intervention which could save the liver from end stage disease. However, the diagnosis is often difficult due to its rarity and diverse clinical symptoms. Ultrasonography could serve as a reliable modality in the early diagnosis of this condition to improve patients’ outcomes. This case report narrates the role of Abdominal Duplex ultrasonography in the diagnosis of CTPV in a 22-year-old male presenting with upper gastrointestinal (GI) bleeding and anemia.