Splenic vein thrombosis diagnostic study of choice: Difference between revisions
Created page with "__NOTOC__ {{Splenic vein thrombosis}} {{CMG}} ; {{AE}} {{Vbe}} ==Overview== == Diagnostic study of choice== ==References== {{reflist|2}}" |
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{{CMG}} ; {{AE}} {{Vbe}} | {{CMG}} ; {{AE}} {{Vbe}} | ||
==Overview== | ==Overview== | ||
The [[diagnostic]] study of choice for [[splenic vein thrombosis]] is venous phase [[angiography]]. | |||
== Diagnostic study of choice== | == Diagnostic study of choice== | ||
Venous phase [[angiography]] accurately visualizes both the location of [[splenic vein]] [[obstruction]] and the routes of [[collateralization]].This is a safer alternative than [[splenoportography]], especially in patients with [[coagulopathy]]. The [[diagnosis]] of [[splenic vein thrombosis]] is confirmed on [[angiography]] when selective injection of the splenic artery shows nonvisualization of the [[splenic vein]] on delayed images. Often venous collaterals in the splenic hilum and dilated [[Gastroepiploic artery|gastroepiploic]] and [[short gastric veins]] are also seen.<ref name="pmid27639911">{{cite journal |vauthors=Bouvier A, Gout M, Audia S, Chalumeau C, Rat P, Deballon O |title=[Routine screening of splenic or portal vein thrombosis after splenectomy] |language=French |journal=Rev Med Interne |volume=38 |issue=1 |pages=3–7 |year=2017 |pmid=27639911 |doi=10.1016/j.revmed.2016.08.003 |url=}}</ref><ref name="pmid26080307">{{cite journal| author=Valla D| title=Splanchnic Vein Thrombosis. | journal=Semin Thromb Hemost | year= 2015 | volume= 41 | issue= 5 | pages= 494-502 | pmid=26080307 | doi=10.1055/s-0035-1550439 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26080307 }}</ref><ref name="pmid29211374">{{cite journal| author=Gouin B, Robert-Ebadi H, Casini A, Beauverd Y, Fontana P, Righini M et al.| title=[Splanchnic vein thrombosis]. | journal=Rev Med Suisse | year= 2017 | volume= 13 | issue= 586 | pages= 2138-2143 | pmid=29211374 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29211374 }}</ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Latest revision as of 16:04, 1 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
The diagnostic study of choice for splenic vein thrombosis is venous phase angiography.
Diagnostic study of choice
Venous phase angiography accurately visualizes both the location of splenic vein obstruction and the routes of collateralization.This is a safer alternative than splenoportography, especially in patients with coagulopathy. The diagnosis of splenic vein thrombosis is confirmed on angiography when selective injection of the splenic artery shows nonvisualization of the splenic vein on delayed images. Often venous collaterals in the splenic hilum and dilated gastroepiploic and short gastric veins are also seen.[1][2][3]
References
- ↑ Bouvier A, Gout M, Audia S, Chalumeau C, Rat P, Deballon O (2017). "[Routine screening of splenic or portal vein thrombosis after splenectomy]". Rev Med Interne (in French). 38 (1): 3–7. doi:10.1016/j.revmed.2016.08.003. PMID 27639911.
- ↑ Valla D (2015). "Splanchnic Vein Thrombosis". Semin Thromb Hemost. 41 (5): 494–502. doi:10.1055/s-0035-1550439. PMID 26080307.
- ↑ Gouin B, Robert-Ebadi H, Casini A, Beauverd Y, Fontana P, Righini M; et al. (2017). "[Splanchnic vein thrombosis]". Rev Med Suisse. 13 (586): 2138–2143. PMID 29211374.