A rare pathological feature of portal vein thrombosis complicated by portal hypertension and haematemesis

Portal cavernoma is a rare cause of upper gastrointestinal bleeding resulting from complications of portal hypertension. We report the case of a 30-year-old woman admitted with haematemesis and splenomegaly. Imaging revealed a portal cavernoma associated with oesophageal varices. The patient received a blood transfusion, fluid resuscitation, and on discharge was put on propranolol for secondary prevention. Endoscopic ligation could not be performed due to service limitations. Diagnosis of portal cavernoma relies on imaging. Its management is complex in low-resource settings such as Niger.