PMC5389103_01
Contrast-enhanced CT scan before operation. Spleen enlargement was observed, and development of portal collateral circulation and gastroesophageal varices were noted. A small volume of ascites was present, and bilateral renal atrophy was observed.
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A small volume of ascites was present, and bilateral renal atrophy and renal cysts were observed (Fig. 1).
Upper gastrointestinal endoscopy before operation. Esophageal (in the upper third of the esophagus, F2-3, Cb, and RC2) and gastric (F1, RC0) varices near the cardiac orifice were confirmed.
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Upper gastrointestinal endoscopy found esophageal (in the upper third of the esophagus, F2-3, Cb, and RC2) and gastric (F1, RC0) varices near the cardiac orifice (Fig. 2).
Histopathological findingsExtensive fibrous expansion in the hepatic portal region was observed. An irregular pattern was observed because the fibrosis of the liver parenchyma spared the islets.
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An irregular pattern was observed because the fibrosis of the liver parenchyma spared the islets; this was consistent with the findings of CHF (Fig. 3).
Contrast-enhanced CT scan at postoperative day 7. The devascularization of the upper stomach was accomplished, and the reduction of the esophageal varices was confirmed. Splenic vein thrombosis persisted (arrow), which had not extended to the portal vein trunk.
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A thrombus in the splenic vein persisted; no thrombus was observed in the portal vein trunk (Fig. 4).