Liver cirrhosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Abdominal pain and elevated liver enzymes.

Patient Data

Age: 50 years
Gender: Male
ct

The liver has heterogeneous parenchyma and irregular margins in keeping with cirrhosis. No focal lesions could be seen in the liver parenchyma.

Multiple dilated collateral vessels are seen in abdominal spaces particularly at perisplenic regions.

A little amount of free fluid is present in the perihepatic region. 

The spleen is enlarged and its cephalocaudal height measured 16 centimeters.

Case Discussion

Cirrhosis with mild ascites, evidence of portal hypertension and splenomegaly.

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