Portal vein thrombus and liver infarction

Case contributed by Dr Jeremy Jones

Presentation

Severe abdominal pain and right upper quadrant tenderness. No significant past medical history.

Patient Data

Age: 55
Gender: Female
Modality: CT

Geographic hepatic perfusion abnormality with pneumobilia and portal vein thrombus.  Moderate bilateral pleural effusions.  Incidental note of tablets in the stomach and large simple renal cysts.


Case Discussion

There has been complete infarction of the left lobe of liver following the large portal vein thrombus.  The pneumobilia and geographic perfusion abnormality are striking.

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Case Information

rID: 14362
Case created: 17th Jul 2011
Last edited: 16th Oct 2015
Inclusion in quiz mode: Included

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