Hepatic cirrhosis with portal hypertension

Case contributed by Dr Ian Bickle

Presentation

Known cirrhosis. Alpha fetoprotein elevation. Clinically well.

Patient Data

Age: 54
Gender: Female

Multiphase CT liver

Severely nodular outline to the liver.

Several small cysts measuring upto 1 cm. No enhancing liver lesion.

Splenomegaly measuring 16 cm.

Large splenic varices predominantly arising from the left renal vein and a distended left ovarian vein.

Gallstones.

The remainder the solid organs are normal.

 

Case Discussion

 Severe liver cirrhosis with portal hypertension and splenic varices.

The appearances in this case are really advance with a extremely nodular outline to the liver, along with splenic varicies.  The anatomy of the left ovarian vein is well illustrated as a result.

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Case information

rID: 47292
Case created: 10th Aug 2016
Last edited: 6th Sep 2017
Inclusion in quiz mode: Included

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