Upper abdominal lymphadenopathy - cirrhosis

Case contributed by Dr Henry Knipe


Abdominal bloating.

Patient Data

Age: 55 years
Gender: Female

Small liver with irregular surfaces. No focal hepatic lesion. Extensive varices within the upper abdomen. Partial thrombosis of the portal vein. Para umbilical vein recanalization. Splenomegaly with a craniocaudal dimension of 18.5 cm. Trace of free fluid within the mesentery.

Upper para-aortic and aortocaval lymphadenopathy.

Case Discussion

This patient had a known history of cirrhosis with features of portal hypertension on this CT. 

Upper abdominal lymphadenopathy has been reported in the setting of end-stage cirrhosis (benign portal hyperplasia) 1 although is non-specific and malignancy (lymphoma, metastases) is within the differential.

This patient was lost to follow-up and the exact cause of lymphadenopathy is not known. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.