Presentation
Right flank pain. No fever and the blood tests are unremarkable.
Patient Data
Age: 20 years
Gender: Female
From the case:
Hepatic vein thrombosis
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Info
Filling defect of the hepatic vein arising from segment V.
The liver, spleen, pancreas, and kidneys are unremarkable.
No renal stones. No peritoneal fluid. Faecal loading.
Case Discussion
A full workup was ordered to determine the aetiology of hepatic vein thrombosis in this young patient. The differentials that were discussed were dehydration, sepsis, polycythaemia rubra vera, antiphospholipid syndrome, oral contraceptive pill use, sickle cell disease, thrombocytosis, and paroxysmal nocturnal haemoglobinuria (PNH).
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