case_images: PMC10634371_01
case_images: The CT scan before SSAE (A), before TIPS (B), and after TIPS (C).
case_images: fmed-10-1276030-g001.jpg
case_images: PMC10634371_01_fmed-10-1276030-g001.jpg
case_images: fig1
case_images: Computed tomography (CT) scan results from the local hospital 5 months before showed revealing esophageal and gastric varices (EGV) before SSAE (Figure 1A), splenomegaly (18.8 cm), and wider portal vein diameter. A contrast-enhanced CT scan at our hospital revealed portal vein, splenic vein, and superior mesenteric vein thrombosis with extensive collaterals, including the esophageal and gastric varices and CTPV (Figure 1B). The patient no longer had blood in her stool, and her CT scans revealed smooth blood flow in the stents at her 1 month, 3 months, 6 months, and 1 year follow-up after the surgery (Figure 1C).
case_images: Angiography before (A) and after (B) TIPS placement; CT angiography after TIPS (C).
case_images: fmed-10-1276030-g002.jpg
case_images: PMC10634371_01_fmed-10-1276030-g002.jpg
case_images: fig2
case_images: Esophageal-gastric varices are visible through the imaging (Figure 2A). The patient underwent TIPS and superior mesenteric vein and splenic vein stent placement procedures (Figures 2B,C).