PMC7083186_01
CT scan of the abdomen showing intrahepatic periportal thickening and oedema that is more severe at the left liver lobe ducts causing portal vein thrombosis
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In addition, the left portal vein was oedematous, with complete non-visualization of the supply to liver segment 2, in keeping with complete left branch PVT; there was partial visualization of the right portal vein supplying liver segment 8 with surrounding oedema, in keeping with partial non-occlusive right PVT (Figs. 1 and 2.)
Axial contrast-enhanced CT scan of the abdomen showing multiple areas of decreased enhancement (low attenuation) in the right kidney, and normal renal arteries and veins. This is suggestive of acute pyelonephritisthrombosis
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In addition, the left portal vein was oedematous, with complete non-visualization of the supply to liver segment 2, in keeping with complete left branch PVT; there was partial visualization of the right portal vein supplying liver segment 8 with surrounding oedema, in keeping with partial non-occlusive right PVT (Figs. 1 and 2.)
Follow-up Doppler and colour flow mapping with no sonographic evidence of thrombosis. The portal vein at the porta hepatis and its main right and left branches show normal colour filling
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The long-term plan was to continue anticoagulation treatment for 6-12 months and follow up in the outpatient clinic with gastroenterology and haematology assessment; the follow-up imaging showed complete resolution of thrombosis (Fig. 3).