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Bunch of grapes appearance in non-cirrhotic portal fibrosis
  1. Subramaniyan Ramanathan,
  2. Mahesh Prakash,
  3. N Khandelwal
  1. Department of Radiodiagnosis, PGIMER, Chandigarh, India
  1. Correspondence to Dr Subramaniyan Ramanathan, Room No. L-183, NDH, Department of Radiodiagnosis, PGIMER, Chandigarh 160012, India; rm_subbu2000{at}yahoo.com

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A 35-year-old woman presented with massive haematemesis. Emergency upper gastrointestinal endoscopy revealed oesophageal varices, and endoscopic sclerotherapy was provided. Liver function tests were normal. CT showed massive splenomegaly with grossly dilated and tortuous splenic vein (thin arrow) and attenuated main portal vein (thick arrow) and its intrahepatic branches (figure 1). Mild atrophy of the liver with a smooth outline was noted. These …

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval This study was conducted with the approval of the PGIMER INSTITUTE ETHICS BOARD.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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