Portal hypertension CT
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Overview
Abdominal CT scan may be helpful in the diagnosis of portal hypertension. Findings on CT scan suggestive of portal hypertension include re-canalized umbilical vein, dilated portal vein and/or splanchnic veins, esophageal varices, collaterals in any abdominal organ, splenomegaly, and ascites.
CT
CT
Abdominal CT scan may be helpful in the diagnosis of portal hypertension. Findings on CT scan suggestive of portal hypertension include:[1][2][3][4]
- Cirrhotic liver, as shrinkage and atrophy in liver
- Re-canalized umbilical vein—pathognomonic
- Dilated portal vein and/or splanchnic veins
- Esophageal varices
- Collaterals in any abdominal organ
- Splenomegaly
- Ascites
Portal hypertension
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Recanalized Umbilical Vein
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References
References
- ↑ Procopet, Bogdan; Berzigotti, Annalisa (2017). “Diagnosis of cirrhosis and portal hypertension: imaging, non-invasive markers of fibrosis and liver biopsy”. Gastroenterology Report. 5 (2): 79–89. doi:10.1093/gastro/gox012. ISSN 2052-0034.
- ↑ Aagaard, J; Jensen, LI; Sorensen, TI; Christensen, U; Burcharth, F (1982). “Recanalized umbilical vein in portal hypertension”. American Journal of Roentgenology. 139 (6): 1107–1110. doi:10.2214/ajr.139.6.1107. ISSN 0361-803X.
- ↑ Cho, K C; Patel, Y D; Wachsberg, R H; Seeff, J (1995). “Varices in portal hypertension: evaluation with CT”. RadioGraphics. 15 (3): 609–622. doi:10.1148/radiographics.15.3.7624566. ISSN 0271-5333.
- ↑ Bandali, Murad Feroz; Mirakhur, Anirudh; Lee, Edward Wolfgang; Ferris, Mollie Clarke; Sadler, David James; Gray, Robin Ritchie; Wong, Jason Kam (2017). “Portal hypertension: Imaging of portosystemic collateral pathways and associated image-guided therapy”. World Journal of Gastroenterology. 23 (10): 1735. doi:10.3748/wjg.v23.i10.1735. ISSN 1007-9327.
- ↑ From the case <“https://radiopaedia.org/cases/23057“>rID: 23057
- ↑ From the case <“https://radiopaedia.org/cases/23057“>rID: 23057
- ↑ From the case <“https://radiopaedia.org/cases/5379“>rID: 5379
- ↑ From the case <“https://radiopaedia.org/cases/15852“>rID: 15852
- ↑ 9.0 9.1 9.2 9.3 9.4 9.5 Radiopaedia.org. From the case <“https://radiopaedia.org/cases/11810“>rID: 11810
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