PMC9792920_01
Diagnostic Images performed. A Transthoracic echocardiogram showing the presence of bubbles in the right chambers (white arrow). B Contrast-enhanced abdominal tomography showing acute non-cirrhotic portal vein thrombosis: partial enhancement of the portal vein, showing an image compatible with a thrombus inside (white arrow)
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PMC9792920_01_43066_2022_233_Fig1_HTML.jpg
Fig1
The chest X-ray and abdominal ultrasound showed evidence of leakage with free fluid in the abdomen and pleural effusion, and hepatomegaly was also noted. The presence of bubbles in the right cavities without evidence of shunt was reported by echocardiography, as a consequence, a Doppler ultrasonography of portal and mesenteric veins were performed as well as CT with portal venous phase, showing an image compatible with acute complete non-cirrhotic thrombosis in the proximal portion of the portal vein (see Fig. 1).