Portal vein thrombosis

Case contributed by Dr MT Niknejad

Presentation

Work up for right upper quadrant pain.

Patient Data

Age: 30 years
Gender: Male
CT

The filling defect within the portal vein infers thrombosis, causing hepatic parenchymal inhomogeneous enhancement.

Case Discussion

Portal vein thrombosis is a major cause of non-cirrhotic presinusoidal portal hypertension. Clinical presentation is often non-specific, and in the acute extensive phase, the presentation is likely to be with acute ischemic bowel.

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