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Portal Vein Thrombosis

Carlson CLC - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Portal Vein Thrombosis

History: 71 year-old male three months post radio frequency ablation of liver malignancy.

Findings: Near occlusive thrombosis is seen in the main portal vein with complete occlusion of the right portal vein, but trace contrast to the left portal vein. There is no evidence of enhancement within the thrombus. These findings suggest a bland thrombus.

Ddx: Idiopathic, portal vein invasion or compression by tumor, post operative (splenectomy, transplant), blood dyscrasias, coagulopathies, sepsis, pylephlebitis, pancreatitis, cholangitis, suppurative lymphadenitis, cirrhosis, and portal hypertention.

Dxhow: CT scan

No MeSH data available.


CT of abdomen with contrast.  Near occlusive thrombosis is seen in the main portal vein with complete occlusion of the right portal vein, but trace contrast to the left portal vein.  There is no evidence of enhancement within the thrombus.  These findings suggest a bland thrombus.  NOte the large hypodense lesion with enhancing septations in the right lobe of the liver worrisome for progression of hepatic malignancy.
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MPX1711_synpic18543: CT of abdomen with contrast. Near occlusive thrombosis is seen in the main portal vein with complete occlusion of the right portal vein, but trace contrast to the left portal vein. There is no evidence of enhancement within the thrombus. These findings suggest a bland thrombus. NOte the large hypodense lesion with enhancing septations in the right lobe of the liver worrisome for progression of hepatic malignancy.


Portal Vein Thrombosis

Carlson CLC - MedPix

CT of abdomen with contrast.  Near occlusive thrombosis is seen in the main portal vein with complete occlusion of the right portal vein, but trace contrast to the left portal vein.  There is no evidence of enhancement within the thrombus.  These findings suggest a bland thrombus.  NOte the large hypodense lesion with enhancing septations in the right lobe of the liver worrisome for progression of hepatic malignancy.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1711&req=5

MPX1711_synpic18543: CT of abdomen with contrast. Near occlusive thrombosis is seen in the main portal vein with complete occlusion of the right portal vein, but trace contrast to the left portal vein. There is no evidence of enhancement within the thrombus. These findings suggest a bland thrombus. NOte the large hypodense lesion with enhancing septations in the right lobe of the liver worrisome for progression of hepatic malignancy.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Portal Vein Thrombosis

History: 71 year-old male three months post radio frequency ablation of liver malignancy.

Findings: Near occlusive thrombosis is seen in the main portal vein with complete occlusion of the right portal vein, but trace contrast to the left portal vein. There is no evidence of enhancement within the thrombus. These findings suggest a bland thrombus.

Ddx: Idiopathic, portal vein invasion or compression by tumor, post operative (splenectomy, transplant), blood dyscrasias, coagulopathies, sepsis, pylephlebitis, pancreatitis, cholangitis, suppurative lymphadenitis, cirrhosis, and portal hypertention.

Dxhow: CT scan

No MeSH data available.