Portal vein thrombosis echocardiography or ultrasound

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

Overview

Ultrasound may be helpful in the diagnosis of portal vein thrombosis. Findings on an ultrasound diagnostic of portal vein thrombosis include echogenic material obstructing lumen of vessel, complete or partial absence of flow in portal vein, and collateral circuits by-passing the obstructed vessel.

Ultrasound

  • Ultrasound may be helpful in the diagnosis of portal vein thrombosis. Findings on an ultrasound diagnostic of portal vein thrombosis include:[1][2][3]
    • Echogenic material obstructing lumen of vessel
    • Complete or partial absence of flow in portal vein
    • Collateral circuits by-passing the obstructed vessel (most typical form is cavernoma)
    • Tangled tortuous vessels with irregular calibre (vessels include vasa vasorum of portal vein and the pericholecystic vessels)
    • Hyperechoic material within the portal vein, with distension of the portal vein and its tributaries
Ultrasound showing portal vein thrombosis source:Case courtesy of Dr Bruno Di Muzio, Radiopaedia.org, rID: 19796


References

  1. Van Gansbeke D, Avni EF, Delcour C, Engelholm L, Struyven J (1985). "Sonographic features of portal vein thrombosis". AJR Am J Roentgenol. 144 (4): 749–52. doi:10.2214/ajr.144.4.749. PMID 3883708.
  2. Sacerdoti D, Serianni G, Gaiani S, Bolognesi M, Bombonato G, Gatta A (2007). "Thrombosis of the portal venous system". J Ultrasound. 10 (1): 12–21. doi:10.1016/j.jus.2007.02.007. PMC 3478708. PMID 23396402.
  3. Hidajat N, Stobbe H, Griesshaber V, Felix R, Schroder RJ (2005). "Imaging and radiological interventions of portal vein thrombosis". Acta Radiol. 46 (4): 336–43. PMID 16136689.

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