Hepatic vein thrombosis

Case contributed by Yahya Baba
Diagnosis certain


Right flank pain. No fever and the blood tests are unremarkable.

Patient Data

Age: 20 years
Gender: Female

Filling defect of the hepatic vein arising from segment V.

The liver, spleen, pancreas, and kidneys are unremarkable.

No renal stones. No peritoneal fluid. Fecal loading.

Case Discussion

A full workup was ordered to determine the etiology of hepatic vein thrombosis in this young patient. The differentials that were discussed were dehydration, sepsis, polycythemia rubra vera, antiphospholipid syndrome, oral contraceptive pill use, sickle cell disease, thrombocytosis, and paroxysmal nocturnal hemoglobinuria (PNH).

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