Case 95

Medical History

A 52-year-old female patient with no history of previous illness presented to an emergency unit with massive hematemesis. After fluid resuscitation, physical examination showed improved blood pressure, HR: 100 bpm, pale mucosa and hepatosplenomegaly. A CT portal venography and an upper gastrointestinal endoscopy were both performed and the latter showed fundic gastric varices and recent bleeding stigmata. She was then treated by endoscopic injection of N-butyl-cyanoacrylate.

Which of the following radiologic findings compatible with portal hypertension is NOT observed in the figure herein provided?

Leave a Reply