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Abdomen Pelvis CT: Portal Hypertension with Severe Varices
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Abdomen Pelvis CT: Portal Hypertension with Severe Varices
Sports Med Review
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- Recommended by 1 person, 1 of them a clinician or researcher, in r/emergencymedicine.
Aimed at clinicians, students or researchers. Education, not medical advice.
858 views4 years ago1 recommendation
Clinical medicineHeart and metabolismClinical skills and examsDiagnosis and clinical reasoning
A CT scan of the abdomen and pelvis reveals extensive abdominal wall venous collateralization and varices from portal hypertension.
This is a 50-something female with ESRD, HTN, calciphylaxis who presented with abdominal pain. Point of care ultrasound showed highly vascular superficial abdominal structures. CT shows extensive abdominal wall venous collateralization and varices correlating to the reported highly vascular structures on the point of care ultrasound with evidence of chronic IVC occlusion and cirrhotic liver morphology with portal hypertension. There is skin thickening on the bilateral lower abdominal walls, left greater than right, which may represent cellulitic changes. No evidence of subcutaneous abscess as questioned. Extensive intra-abdominal varices including gastric fundal and duodenal varices noted. SportsMedReview sportsmedreview.com/by-joint/ Wiki Sports Medicine wikism.org/Main_PageWhy it's here
1 person recommends thisWhat people say. Recommended by emergency medicine clinicians as a clinical case example of severe portal hypertension on CT.