PBL Sessions: Reproductive Organ System

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History of Present Illness:

This preliminary diagnosis was confirmed by hepatic venography. This procedure was combined with venography of the inferior vena cava (IVC). Subsequently, the patient underwent a procedure to relieve the portal hypertension. Within on week, her liver function improved significantly and she was discharged to home within two weeks.

Figure 6: CT scan through the upper abdomen

Figure 7: Another CT image of the abdomen

Figure 8: Hepatic venogram

Figure 9: Venogram of IVC

Tasks

• Identify the clinical anatomy in the images.

• What does the imaging contribute to your problem and hypothesis list?

• What would you expect a normal hepatic venogram to look like?

• What is the most likely explanation of the filling defect in the IVC?

Stop !! Complete discussions and tasks before moving to the next page.