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