HomeClinicalNocturnal paroxysmal hemoglobinuria, ascites and fever

Nocturnal paroxysmal hemoglobinuria, ascites and fever

Author: Carlo Catalano, MD, Rome, Italy
Body Region: Abdomen and Pelvis

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

1. Patient presentation

  • A 50-year-old woman with nocturnal paroxysmal hemoglobinuria, ascites and fever was taken to
    the emergency room

  • Laboratory tests revealed low levels of serum albumin and total protein and high levels of
    alkaline phosphatase and gamma-glutamyl transpeptidase

  • Ultrasonography revealed three hepatic lesions, hepatic venous outflow obstruction and
    cavernomous transformation of the portal vein