Portal hypertension

Case contributed by Heba Abdelmonem
Diagnosis almost certain

Presentation

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

Patient Data

Age: 40 years
Gender: Male
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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