Liver cirrhosis

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Chronic hepatitis C infection.

Patient Data

Age: Adult
Gender: Male
ct

Liver cirrhotic changes seen as irregular borders and relatively prominent left lobe and caudate. This is complicated by portal hypertension seen as marked splenomegaly and dilated portal and splenic veins with multiple dilated venous collaterals, most prominent at the lower peri-oesophagal and oesophagal submucosal groups.

Gynecomastia is also seen.

Case Discussion

This case represents usual changes of chronic HCV as liver cirrhosis with evidence of portal hypertension. This patient is at high risk for esophageal bleeding which may be life-threatening.

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