EC Clinical and Medical Case Reports

This article discusses a case of a 29-year-old woman with a history of hepatic transplant for liver cirrhosis who presented with splenomegaly related to heaviness and tenderness in the left upper quadrant for several years. Radiologic imaging techniques, including helical CT and MRI, were crucial in the diagnosis of congestive splenomegaly, a condition characterized by enlargement of the spleen due to increased pressure in the portal vein. The imaging findings showed a geographic enhancement pattern at the portal phase, in addition to the presence of Gamma Gandy bodies, which are a hallmark of this condition. The management of congestive splenomegaly is complex and may involve medical, surgical, or interventional approaches.

Keywords: Congestive Splenomegaly; Hepatic Transplant; MRI; Portal Hypertension

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