[Frederike van Vilsteren]

Unfortunately recanalization of the portal system seems technically highly challenging or impossible given extended intrahepatic portal vein thrombosis, and also mesorex shunt is impossible given that there is no connection between the left en right portal vein systeem.

[Frederike van Vilsteren]

@ Dr Ganger: there is no severe fibrosis or cirrhosis upon elastography, and the liver function is normal. Howover the liver surface seems slighty irregular on MRI, and there are two hypervascular lesions on MRI, not suspicious for HCC. There is no ascites. She underwent several band ligations for esophageal variceal bleeding in her early years. Current MELD is 9 points. I would by happy to receive the contact info of Professor Riad Salem (f.g.i.van.vilsteren@umcg.nl).

@ Dr Rautou: 1) bone marrow study showed no abnormalities.

Thanks for your advice,

Kind regards,

Dr. Frederike GI van Vilsteren, gastroenterologist/hepatologist
UMC Groningen, Netherlands.
f.g.i.van.vilsteren@umcg.nl

[Author]

Posts