case_images: PMC11324222_01
case_images: Computed tomography of the abdomen and pelvis. a Coronal view of computed tomography illustrates an enlarged spleen measuring 20.2 x 11.6 x 20.4 cm. The liver measures 6.8 cm craniocaudally with mild atrophy of the right lobe and mild hypertrophy of the left lobe. The gallbladder, bile ducts, and pancreas are unremarkable, and there is no evidence of portal vein thrombosis. b Axial view of computed tomography demonstrates a lack of surface nodularity of the liver.
case_images: crg-2024-0018-0001-539500_F01.jpg
case_images: PMC11324222_01_crg-2024-0018-0001-539500_F01.jpg
case_images: F1
case_images: Computed tomography of the chest, abdomen, and pelvis with and without contrast showed severe splenomegaly (Fig. 1a) without liver surface nodularity (Fig. 1b), potential tiny varices in the anterior mediastinum along the gastrohepatic ligament, and no portal vein thrombosis.
case_images: Upper gastrointestinal endoscopy findings. Esophagogastroduodenoscopy demonstrates grade II esophageal varices at gastroesophageal junction.
case_images: crg-2024-0018-0001-539500_F02.jpg
case_images: PMC11324222_01_crg-2024-0018-0001-539500_F02.jpg
case_images: F2
case_images: Upper GI endoscopy revealed grade II esophageal varices (Fig. 2) and erythematous mucosa in the stomach, suggestive of portal hypertension.