Case contributed by Huda B. Gharbia


Follow up a known case of myelofibrosis, complain abdominal pain and distention.

Patient Data

Age: 50 years
Gender: Male

Severe splenomegaly, with multiple hypodense areas, peripheral based, subcapsular, with rind of linear calcification in mid portion, and hypodense fluid collection surrounding spleen, with distorted capsule, likely bleeding, with regional fat stranding.

Severe enlarged liver, enlarged portal vein, multiple lymph nodes enlargement (include inguinal, femoral, iliac and axillary lymph nodes).

Small right indirect inguinal hernia, transmitting bowel content.

Mild free fluid pelvic collection.

Bilateral pleural effusion, and cardiomegaly.

Case Discussion

Follow up a known case of myelofibrosis, shows: massive splenomegaly with multiple infarcts of different ages, hepatomegaly, portal hypertension and lymphadenopathy. 

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