Portal hypertension

Case contributed by Dr Heba Mohamed

Presentation

40 years old male with abnormal liver function and huge splenomegaly.

Patient Data

Age: 40 years
Gender: Male
Modality: CT

Huge splenomegaly.

Dilated PV as well as lower esophageal, splenic hilar and lieno renal portosystemic collaterals.

Mild ascites.

Minimal right side pleural effusion.

Case Discussion

40 years old male patient with hepatitis C virus infection manifests with altered liver function, hepatocellular jaundice and hugely enlarged spleen.

Triphasic CT of the abdomen shows dilated caliber of the PV with no thrombosis, multiple Porto-systemic collateral pathways, Splenomegaly as well as abdominal Ascites  all of the forementioned criteria favors the diagnosis of Portal hypertension.

 

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Case Information

rID: 48322
Case created: 30th Sep 2016
Last edited: 5th Oct 2016
Inclusion in quiz mode: Included

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