case_images: PMC7083186_01
case_images: CT scan of the abdomen showing intrahepatic periportal thickening and oedema that is more severe at the left liver lobe ducts causing portal vein thrombosis
case_images: 1391_Fig1.jpg
case_images: PMC7083186_01_1391_Fig1.jpg
case_images: f1-1391-1-11510-1-10-20200131
case_images: In addition, the left portal vein was oedematous, with complete non-visualization of the supply to liver segment 2, in keeping with complete left branch PVT; there was partial visualization of the right portal vein supplying liver segment 8 with surrounding oedema, in keeping with partial non-occlusive right PVT (Figs. 1 and 2.)
case_images: Axial contrast-enhanced CT scan of the abdomen showing multiple areas of decreased enhancement (low attenuation) in the right kidney, and normal renal arteries and veins. This is suggestive of acute pyelonephritisthrombosis
case_images: 1391_Fig2.jpg
case_images: PMC7083186_01_1391_Fig2.jpg
case_images: f2-1391-1-11510-1-10-20200131
case_images: In addition, the left portal vein was oedematous, with complete non-visualization of the supply to liver segment 2, in keeping with complete left branch PVT; there was partial visualization of the right portal vein supplying liver segment 8 with surrounding oedema, in keeping with partial non-occlusive right PVT (Figs. 1 and 2.)
case_images: Follow-up Doppler and colour flow mapping with no sonographic evidence of thrombosis. The portal vein at the porta hepatis and its main right and left branches show normal colour filling
case_images: 1391_Fig3.jpg
case_images: PMC7083186_01_1391_Fig3.jpg
case_images: f3-1391-1-11510-1-10-20200131
case_images: The long-term plan was to continue anticoagulation treatment for 6-12 months and follow up in the outpatient clinic with gastroenterology and haematology assessment; the follow-up imaging showed complete resolution of thrombosis (Fig. 3).