Weight loss and abnormal liver function tests
The patient's condition deteriorated rapidly and he died a few weeks later. An autopsy was performed.
At autopsy a cirrhotic liver was found. In the portal veins a diffuse growing hepatocellular carcinoma was found.
References
Rossi S, Rosa L, Ravetta V, Cascina A, Quaretti P, Azzaretti A, Scagnelli P, Tinelli C, Dionigi P, Calliada F. Contrast-enhanced versus conventional and color Doppler sonography for the detection of thrombosis of the portal and hepatic venous systems.
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Tarantino L, Francica G, Sordelli I, Esposito F, Giorgio A, Sorrentino P, de Stefano G, Di Sarno A, Ferraioli G, Sperlongano P. Diagnosis of benign and malignant portal vein thrombosis in cirrhotic patients with hepatocellular carcinoma: color Doppler US, contrast-enhanced US, and fine-needle biopsyAbdom Imaging. 2006 Sep-Oct;31(5):537-44.