Beneficial long term effect of a phosphodiesterase-5-inhibitor in cirrhotic portal hypertension: A case report with 8 years follow-up

Figure 1 Time-resolved 3D MRI image shows prograde blood flow in the extrahepatic portal venous system and a recanalization of the umbilical vein with flow over the left branch of the intrahepatic portal vein. PV: Portal vein; smv: Superior mesenteric vein.

Figure 2 Distal aspect of the esophagus (12/2016). Endoscopy shows scarring in the distal esophagus caused by sclerosing and banding, the old varices remain thrombosed.

Figure 3 Computer tomographic angiography of the abdomen (09/2017). These sections show the normal sized-cirrhotic liver with the portal vein draining blood in prograde direction (solid arrow). The spleen is considerably enlarged. There is a collateral blood flow originating from the splenic hilus via an enlarged ovarian vein to the pelvis (dashed arrows).