Presentation
Progressive abdominal distension & elevated liver enzymes.
Patient Data
Age: 65 years
Gender: Male
From the case:
Cirrhosis
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Massive abdominopelvic ascites is present. The liver is small and has irregular margin in keeping with cirrhosis. No hepatic mass is identified in current study.
A 22 mm hyperdense stone is noted in gallbladder.
The spleen is enlarged and its cephalocaudal height measured 145 mm.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Post-operative changes and evidence of CD insertion (lumbar pedicle screw fixation) are seen at L4 & L5 levels.
Case Discussion
Cirrhosis with massive ascites and splenomegaly.
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