Computed tomography combined with gastroscopy for assessment of pancreatic segmental portal hypertension

Figure 1 A 42-year-old male with a history of chronic pancreatitis (patient 1). A: A tortuous vascular shadow was observed in the upper esophagus and gastric fundus area on plain computed tomography (CT); B: The tortuous venous cluster was more evident on enhanced CT, and the longest diameter (red line) measured was 50 mm (perpendicular to the gastric wall, orange line); C: On gastroscopy, obvious tortuosity was observed in the inferior fundus veins (blue arrow); D: On gastroscopy, the blood vessels of the gastric body appeared as beaded, tumor-like bulges (G3, blue arrow).