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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
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