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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
Full article
Full Article
PAGES 414-415
(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.
PMID 35709792