einstein (São Paulo). 21/nov/2024;22:eAI0564.
Liver cirrhosis with the development of transdiaphragmatic collateral circulation
DOI: 10.31744/einstein_journal/2024AI0564
A 70-year-old man with liver cirrhosis underwent follow-up examinations at our hospital while awaiting liver transplantation. His medical history included an episode of upper gastrointestinal bleeding secondary to the rupture of esophageal varices approximately a year ago.
His computed tomography (CT) showed signs of chronic liver disease with subacute portal vein thrombosis, cavernous transformation at the abdominal level, ascites, and right pleural effusion. Furthermore, multiple collateral vessels were observed, some of which ascended through the right hemidiaphragm to communicate with the pulmonary veins, which is consistent with transdiaphragmatic collateral circulation ().
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