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.


Question:
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:

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