Which of the following is not a common finding in portal hypertension?

In the context of portal hypertension, the correct answer is gallbladder calculi, as this condition is not typically associated with portal hypertension itself. Portal hypertension can result from various liver conditions that impede blood flow, leading to a series of characteristic complications arising from increased pressure in the portal vein system.

Splenomegaly is a common finding in portal hypertension due to the increased pressure, which causes congestion in the splenic vein and hepatosplenomegaly. Similarly, ascites—an accumulation of fluid in the abdominal cavity—results from increased hydrostatic pressure in the is typically a response to portal hypertension due to alterations in venous return and fluid dynamics within the abdominal cavity.

Esophageal varices are also a hallmark complication of portal hypertension. These varices form as collateral circulation develops due to the increased pressure in the portal venous system, often leading to life-threatening hemorrhage if they rupture.

In contrast, gallbladder calculi (gallstones) are related to conditions affecting gallbladder function or bile composition and are not a direct consequence of portal hypertension. They may occur independently of portal hypertension and are not commonly highlighted among the triad of secondary findings associated with this condition. Therefore, gallbladder calculi do not fit