Acute portal hypertension associated with extensive inferior venae cavae thrombosis and acute renal failure in paraneoplastic cicumstance

We present the case of a female patient, DA, age 69, urban environment, without prior significant medical history, admitted to the hospital with anasarca, oliguria, anaemia, heart failure trough hyperhydration. Biology reveals normocytic severe anaemia, with greatly increased BUN and creatinine values, and progressive elevation of alkaline phosphatase, GGT and bylirubins with normal transaminase and alphafetoproteine values and an elevation of 200 times normal value for CA 125 antibody with moderate elevation for Carcinoembryonar Antigen. Abdominal ultrasonography reveals an inhomogeneous, extensive area in the…