A rare sign of portal hypertension
|Journal||Volume 85 - 2022|
|Issue||Fasc.2 - Clinical images|
|Author(s)||E. Dias 1, M. Marques 1, G. Macedo 1|
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(1) Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal
A 44-year-old male with previous medical history of alcoholism, obesity, hypertension and goiter performed diagnostic work-up consistent with alcoholic liver cirrhosis. Blood tests revealed thrombocytopenia (plate- let count 47x10^9/L) and mild elevation of aspartate aminotransferase, alanine aminotransferase and gamma- glutamyl transferase levels. Albumin, bilirubin and coa- gulation studies were normal. Abdominal ultrasound revealed splenomegaly and, remarkably, multiple puncti- form hyperechogenic foci could be seen dispersed within splenic parenchyma (Figure 1). What is your diagnosis?
Keywords: Gamna-Gandy bodies, portal hypertension, esophageal varices, spleen.
|The authors declare that they have no conflict of interest.|
© Acta Gastro-Enterologica Belgica.