Cirrhosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and elevated liver enzymes.

Patient Data

Age: 25 years
Gender: Male
ct

The liver has nodular parenchyma and margins in keeping with cirrhosis. There is no hepatic mass in current study. Portal, splenic and superior mesenteric veins are dilated without filling defect. Some collateral vessels are present at perigastric region.
The spleen is enlarged and its cephalocaudal height measured 260 mm.
A little amount abdominal free fluid is present.
Multiple dilated collateral vessels are also seen at perirectal regions. 

Case Discussion

Cirrhosis with evidence of portal hypertension and splenomegaly.

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