Presentation
Abdominal pain and elevated liver enzymes.
Patient Data
Age: 35 years
Gender: Female
From the case:
Cirrhosis
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The liver is small and shows nodular margin in keeping with cirrhosis. No hyper- vascular mass is noted in liver parenchyma to suggest HCC.
Dilated collateral vessels are present at portahepatis, peripancreatic, upper perigastric and lower para-esophageal regions.
The spleen is enlarged and its cephalocaudal height measured 178 mm.
Case Discussion
Cirrhosis with evidence of portal hypertension and splenomegaly.