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Cirrhosis secondary to chronic hepatitis C

Case contributed by David Cuete
Diagnosis almost certain

Presentation

History of blood transfusion years ago.

Patient Data

Age: 60 years
Gender: Male

CT abdomen and pelvis

ct

The liver is atrophic with irregulars contour. There are numerous vascular collaterals within the omentum and the lower esophagus indicative of severe portal hypertension.

Large amount of ascites and marked splenomegaly.

A gallstone is also noted.

Annotated image

Arrow indicates the falciform ligament.

Case Discussion

A 60-year-old male known case of chronic hepatitis C infection, acquired from a blood transfusion because of a car accident.

People who received a blood transfusion or organ transplant before 1992, may have hepatitis C. Prior to 1992, had not been implemented methods to detect hepatitis C virus in the blood, so many people received infected blood.

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