Budd-Chiari syndrome echocardiography or ultrasound: Difference between revisions

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==Echocardiography or Ultrasound==
==Echocardiography or Ultrasound==
Budd-Chiari syndrome is most commonly diagnosed using [[medical ultrasonography|ultrasound]] studies of the [[abdomen]] and retrograde [[angiography]]).
 
*A system of venous collaterals may form around the occlusion which may be seen on imaging as a "spider's web."
*Ultrasound may be helpful in the diagnosis of Budd-Chiari. Ultrasound is the first line imaging method preferred for its high sensitivity and
*Obliteration of hepatic veins, thrombosis or stenosis, spiderweb vessels, large collateral vessels, or a hyperechoic cord replacing a normal vein.
specificity of up to 85% (Bolondi et al., 1991).
*Ultrasound may be helpful in the diagnosis of Budd-Chiari.
*Findings on an ultrasound suggestive of Acute Budd-Chiari include :
*Findings on an ultrasound suggestive of Acute Budd-Chiari include :
**Hepatomegaly
**Hepatomegaly
Line 21: Line 20:
**regenerative nodules
**regenerative nodules
**gallbladder wall thickening
**gallbladder wall thickening
**ascites
**Ascites


==References==
==References==

Revision as of 05:27, 8 November 2017

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Overview

Echocardiography or Ultrasound

  • Ultrasound may be helpful in the diagnosis of Budd-Chiari. Ultrasound is the first line imaging method preferred for its high sensitivity and

specificity of up to 85% (Bolondi et al., 1991).

  • Findings on an ultrasound suggestive of Acute Budd-Chiari include :
    • Hepatomegaly
    • Splenomegaly
    • Heterogeneous echotexture
  • Findings on an ultrasound suggestive of Chronic Budd-Chiari include :
    • hypertrophied caudate lobe
    • peripheral atrophy of affected regions
    • regenerative nodules
    • gallbladder wall thickening
    • Ascites

References

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