Upper abdominal lymphadenopathy - cirrhosis

Case contributed by Dr Henry Knipe

Presentation

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. 

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