Case 329

Case 329

Medical history

Male patient, 56 years old, chronic carrier of hepatitis C virus (HCV), liver cirrhosis (Child-Pugh B7 and MELD 14) was subjected to antiviral therapy with sustained virological response (undetectable HCV-RNA). In the follow-up, abdominal ultrasonography showed a cavernomatous transformation of the portal vein and intravascular echogenic material. After an episode of moderate ascites (grade 2), he underwent a computed tomography (CT) of the abdomen and pelvis to evaluate the portal circulation.

Based on the clinical history and the presented images, what would be the most likely clinical diagnosis of altered portal circulation?

Test Question

(UNIFESP - 2016) About the hepatic vascular diseases can be said, EXCEPT: