History of regenerative anemia likely immune mediated, has an elevated ALT and ALP but has also been on prednisone. The patient had a blood transfusion and then developed ascites.
Fluid collected appeared to be a modified transudate, no mass lesions, hyperechoic hepatomegaly. Concerns about possible portal vein thrombosis.
History of regenerative anemia likely immune mediated, has an elevated ALT and ALP but has also been on prednisone. The patient had a blood transfusion and then developed ascites.
Fluid collected appeared to be a modified transudate, no mass lesions, hyperechoic hepatomegaly. Concerns about possible portal vein thrombosis.
Great case and nice pv thrombus!! The only ones I ever get to see on follow-up have been treated with plasma and plavix. AIHA and ITP/Evans cases are classic for this. But be sure its not paraneoiplastic like lymphoma lurking somewhere. Here are a few similar cases form the basic search: http://sonopath.com/members/case-studies/search?text=portal+thrombosis&s…
Plavix, plasma and recheck Q 72 hours on sonogram and you will know clinically if its working because the ascites will go away as will the abdominal bloating.
Forum post: https://sonopath.com/forum/evaluating-portal-vein-thrombosis#comment-2011