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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Portal vein thrombosis CT

Introduction

Overview

Overview

Abdominal CT scan may be helpful in the diagnosis of portal vein thrombosis. Findings on CT scan suggestive of hyperattenuating material in the portal vein lumen, nonenhanced intraluminal-filling defect, Lack of luminal enhancement, increased hepatic enhancement in the arterial phase and decreased hepatic enhancement in the portal phase.

CT scan

CT scan

  • Abdominal CT scan may be helpful in the diagnosis of portal vein thrombosis. Findings on CT scan diagnostic of portal vein thrombosis include:[1][2][3][4][5][6]
    • CT scan without contrast:
      • Hyperattenuating material in the portal vein lumen
      • Nonenhanced intraluminal filling defect
    • CT scan with contrast:
      • Lack of luminal enhancement, increased hepatic enhancement in the arterial phase
      • Decreased hepatic enhancement in the portal phase
CT scan showing portal vein thrombosis source:Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 17531
CT scan showing portal vein thrombosis source:Rajesh et al, Hindawi
References

References

  1. ↑ Ponziani FR, Zocco MA, Campanale C, Rinninella E, Tortora A, Di Maurizio L, Bombardieri G, De Cristofaro R, De Gaetano AM, Landolfi R, Gasbarrini A (2010). “Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment”. World J. Gastroenterol. 16 (2): 143–55. PMC 2806552. PMID 20066733.
  2. ↑ Lee HK, Park SJ, Yi BH, Yeon EK, Kim JH, Hong HS (2008). “Portal vein thrombosis: CT features”. Abdom Imaging. 33 (1): 72–9. doi:10.1007/s00261-007-9200-x. PMID 17694406.
  3. ↑ Tublin ME, Dodd GD, Baron RL (1997). “Benign and malignant portal vein thrombosis: differentiation by CT characteristics”. AJR Am J Roentgenol. 168 (3): 719–23. doi:10.2214/ajr.168.3.9057522. PMID 9057522.
  4. ↑ Hekster RE, Matricali B, Luyendijk W (1974). “Presurgical transfemoral catheter embolization to reduce operative blood loss. Technical note”. J. Neurosurg. 41 (3): 396–8. doi:10.3171/jns.1974.41.3.0396. PMID 4415192.
  5. ↑ Mathieu D, Vasile N, Grenier P (1985). “Portal thrombosis: dynamic CT features and course”. Radiology. 154 (3): 737–41. doi:10.1148/radiology.154.3.3881793. PMID 3881793.
  6. ↑ Bach AM, Hann LE, Brown KT, Getrajdman GI, Herman SK, Fong Y, Blumgart LH (1996). “Portal vein evaluation with US: comparison to angiography combined with CT arterial portography”. Radiology. 201 (1): 149–54. doi:10.1148/radiology.201.1.8816536. PMID 8816536.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]