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HIV related portal vein thrombosis

Case contributed by Ali Abougazia
Diagnosis probable

Presentation

Known HIV patient. Complaining of abdominal discomfort, nausea, anorexia and weight loss.

Patient Data

Age: 35 years
Gender: Male

Abdomen

ultrasound

The portal vein couldn't be visualized with multiple dilated porta hepatis vessels (cavernous transformation of the portal vein).

Case Discussion

The findings are compatible with HIV related portal vein thrombosis with subsequent cavernous transformation, known to occur in HIV patients due to various causes including coagulopathy, repeated pyelephlebitis by intestinal pathogens and stasis of portal flow. 

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