Abstract
A 35-year-old woman presented with recurrent hematemesis and melena for 3 years. She was diagnosed with tuberculous peritonitis 16 years prior, which resolved after a full course of anti-tuberculosis therapy. Endoscopy revealed severe gastroesophageal varices. Abdominal contrast-enhanced computed tomography showed multiple calcified lymph nodes in the peritoneal and retroperitoneal spaces, with the largest surrounding and constricting the main portal vein (Fig 1). Portal venography via transjugular access was performed, confirming that the portal vein was nearly occluded at the hepatic hilum, with partial cavernous transformation and large gastroesophageal varices (Fig 2a).
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