Portal vein thrombosis CT: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Portal vein thrombosis}} | {{Portal vein thrombosis}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{F.K}} | ||
==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:<ref name="pmid20066733">{{cite journal |vauthors=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 |title=Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment |journal=World J. Gastroenterol. |volume=16 |issue=2 |pages=143–55 |year=2010 |pmid=20066733 |pmc=2806552 |doi= |url=}}</ref><ref name="pmid17694406">{{cite journal |vauthors=Lee HK, Park SJ, Yi BH, Yeon EK, Kim JH, Hong HS |title=Portal vein thrombosis: CT features |journal=Abdom Imaging |volume=33 |issue=1 |pages=72–9 |year=2008 |pmid=17694406 |doi=10.1007/s00261-007-9200-x |url=}}</ref><ref name="pmid9057522">{{cite journal |vauthors=Tublin ME, Dodd GD, Baron RL |title=Benign and malignant portal vein thrombosis: differentiation by CT characteristics |journal=AJR Am J Roentgenol |volume=168 |issue=3 |pages=719–23 |year=1997 |pmid=9057522 |doi=10.2214/ajr.168.3.9057522 |url=}}</ref><ref name="pmid4415192">{{cite journal |vauthors=Hekster RE, Matricali B, Luyendijk W |title=Presurgical transfemoral catheter embolization to reduce operative blood loss. Technical note |journal=J. Neurosurg. |volume=41 |issue=3 |pages=396–8 |year=1974 |pmid=4415192 |doi=10.3171/jns.1974.41.3.0396 |url=}}</ref><ref name="pmid3881793">{{cite journal |vauthors=Mathieu D, Vasile N, Grenier P |title=Portal thrombosis: dynamic CT features and course |journal=Radiology |volume=154 |issue=3 |pages=737–41 |year=1985 |pmid=3881793 |doi=10.1148/radiology.154.3.3881793 |url=}}</ref><ref name="pmid8816536">{{cite journal |vauthors=Bach AM, Hann LE, Brown KT, Getrajdman GI, Herman SK, Fong Y, Blumgart LH |title=Portal vein evaluation with US: comparison to angiography combined with CT arterial portography |journal=Radiology |volume=201 |issue=1 |pages=149–54 |year=1996 |pmid=8816536 |doi=10.1148/radiology.201.1.8816536 |url=}}</ref> | *Abdominal [[CT scan]] may be helpful in the diagnosis of portal vein thrombosis. Findings on [[CT scan]] diagnostic of portal vein thrombosis include:<ref name="pmid20066733">{{cite journal |vauthors=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 |title=Portal vein thrombosis: insight into physiopathology, diagnosis, and treatment |journal=World J. Gastroenterol. |volume=16 |issue=2 |pages=143–55 |year=2010 |pmid=20066733 |pmc=2806552 |doi= |url=}}</ref><ref name="pmid17694406">{{cite journal |vauthors=Lee HK, Park SJ, Yi BH, Yeon EK, Kim JH, Hong HS |title=Portal vein thrombosis: CT features |journal=Abdom Imaging |volume=33 |issue=1 |pages=72–9 |year=2008 |pmid=17694406 |doi=10.1007/s00261-007-9200-x |url=}}</ref><ref name="pmid9057522">{{cite journal |vauthors=Tublin ME, Dodd GD, Baron RL |title=Benign and malignant portal vein thrombosis: differentiation by CT characteristics |journal=AJR Am J Roentgenol |volume=168 |issue=3 |pages=719–23 |year=1997 |pmid=9057522 |doi=10.2214/ajr.168.3.9057522 |url=}}</ref><ref name="pmid4415192">{{cite journal |vauthors=Hekster RE, Matricali B, Luyendijk W |title=Presurgical transfemoral catheter embolization to reduce operative blood loss. Technical note |journal=J. Neurosurg. |volume=41 |issue=3 |pages=396–8 |year=1974 |pmid=4415192 |doi=10.3171/jns.1974.41.3.0396 |url=}}</ref><ref name="pmid3881793">{{cite journal |vauthors=Mathieu D, Vasile N, Grenier P |title=Portal thrombosis: dynamic CT features and course |journal=Radiology |volume=154 |issue=3 |pages=737–41 |year=1985 |pmid=3881793 |doi=10.1148/radiology.154.3.3881793 |url=}}</ref><ref name="pmid8816536">{{cite journal |vauthors=Bach AM, Hann LE, Brown KT, Getrajdman GI, Herman SK, Fong Y, Blumgart LH |title=Portal vein evaluation with US: comparison to angiography combined with CT arterial portography |journal=Radiology |volume=201 |issue=1 |pages=149–54 |year=1996 |pmid=8816536 |doi=10.1148/radiology.201.1.8816536 |url=}}</ref> | ||
**CT scan without contrast: | **[[CT scan]] without contrast: | ||
***Hyperattenuating material in the portal vein lumen | ***Hyperattenuating material in the portal vein lumen | ||
*** | ***Nonenhanced intraluminal filling defect | ||
**CT scan with contrast: | **[[CT scan]] with contrast: | ||
***Lack of luminal enhancement, increased hepatic enhancement in the arterial phase | ***Lack of [[luminal]] enhancement, increased hepatic enhancement in the arterial phase | ||
***Decreased hepatic enhancement in the portal phase | ***Decreased hepatic enhancement in the portal phase | ||
[[File:Pvt ct.gif|400px|thumb|left|CT scan showing portal vein thrombosis [https://radiopaedia.org/cases/portal-vein-thrombosis source:Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 17531]]] | [[File:Pvt ct.gif|400px|thumb|left|CT scan showing portal vein thrombosis [https://radiopaedia.org/cases/portal-vein-thrombosis source:Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 17531]]] | ||
[[File:Pvt ct axial.JPG|400px|thumb|left|CT scan showing portal vein thrombosis [https://www.hindawi.com/journals/grp/2015/101029/fig6/ source:Rajesh et al, Hindawi]]] | |||
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Latest revision as of 14:37, 29 December 2017
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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
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
- 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]
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.