Portal hypertension CT: Difference between revisions

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==CT==
==CT==
Abdominal [[CT scan]] may be helpful in the diagnosis of portal hypertension. Findings on [[CT scan]] suggestive of portal hypertension include:
Abdominal [[CT scan]] may be helpful in the diagnosis of portal hypertension. Findings on [[CT scan]] suggestive of portal hypertension include:<ref name="ProcopetBerzigotti2017">{{cite journal|last1=Procopet|first1=Bogdan|last2=Berzigotti|first2=Annalisa|title=Diagnosis of cirrhosis and portal hypertension: imaging, non-invasive markers of fibrosis and liver biopsy|journal=Gastroenterology Report|volume=5|issue=2|year=2017|pages=79–89|issn=2052-0034|doi=10.1093/gastro/gox012}}</ref><ref name="AagaardJensen1982">{{cite journal|last1=Aagaard|first1=J|last2=Jensen|first2=LI|last3=Sorensen|first3=TI|last4=Christensen|first4=U|last5=Burcharth|first5=F|title=Recanalized umbilical vein in portal hypertension|journal=American Journal of Roentgenology|volume=139|issue=6|year=1982|pages=1107–1110|issn=0361-803X|doi=10.2214/ajr.139.6.1107}}</ref><ref name="ChoPatel1995">{{cite journal|last1=Cho|first1=K C|last2=Patel|first2=Y D|last3=Wachsberg|first3=R H|last4=Seeff|first4=J|title=Varices in portal hypertension: evaluation with CT.|journal=RadioGraphics|volume=15|issue=3|year=1995|pages=609–622|issn=0271-5333|doi=10.1148/radiographics.15.3.7624566}}</ref><ref name="BandaliMirakhur2017">{{cite journal|last1=Bandali|first1=Murad Feroz|last2=Mirakhur|first2=Anirudh|last3=Lee|first3=Edward Wolfgang|last4=Ferris|first4=Mollie Clarke|last5=Sadler|first5=David James|last6=Gray|first6=Robin Ritchie|last7=Wong|first7=Jason Kam|title=Portal hypertension: Imaging of portosystemic collateral pathways and associated image-guided therapy|journal=World Journal of Gastroenterology|volume=23|issue=10|year=2017|pages=1735|issn=1007-9327|doi=10.3748/wjg.v23.i10.1735}}</ref>
* [[Cirrhosis|Cirrhotic liver]], as shrinkage and atrophy in liver<ref name="ProcopetBerzigotti2017">{{cite journal|last1=Procopet|first1=Bogdan|last2=Berzigotti|first2=Annalisa|title=Diagnosis of cirrhosis and portal hypertension: imaging, non-invasive markers of fibrosis and liver biopsy|journal=Gastroenterology Report|volume=5|issue=2|year=2017|pages=79–89|issn=2052-0034|doi=10.1093/gastro/gox012}}</ref>
* [[Cirrhosis|Cirrhotic liver]], as shrinkage and atrophy in liver
* Re-canalized [[umbilical vein]]--[[pathognomonic]]<ref name="AagaardJensen1982">{{cite journal|last1=Aagaard|first1=J|last2=Jensen|first2=LI|last3=Sorensen|first3=TI|last4=Christensen|first4=U|last5=Burcharth|first5=F|title=Recanalized umbilical vein in portal hypertension|journal=American Journal of Roentgenology|volume=139|issue=6|year=1982|pages=1107–1110|issn=0361-803X|doi=10.2214/ajr.139.6.1107}}</ref>
* Re-canalized [[umbilical vein]]--[[pathognomonic]]
* Dilated [[portal vein]] and/or [[splanchnic]] veins
* Dilated [[portal vein]] and/or [[splanchnic]] veins
* [[Esophageal varices]] <ref name="ChoPatel1995">{{cite journal|last1=Cho|first1=K C|last2=Patel|first2=Y D|last3=Wachsberg|first3=R H|last4=Seeff|first4=J|title=Varices in portal hypertension: evaluation with CT.|journal=RadioGraphics|volume=15|issue=3|year=1995|pages=609–622|issn=0271-5333|doi=10.1148/radiographics.15.3.7624566}}</ref>
* [[Esophageal varices]]
* [[Collaterals]] in any [[Abdominal organs|abdominal organ]]<ref name="BandaliMirakhur2017">{{cite journal|last1=Bandali|first1=Murad Feroz|last2=Mirakhur|first2=Anirudh|last3=Lee|first3=Edward Wolfgang|last4=Ferris|first4=Mollie Clarke|last5=Sadler|first5=David James|last6=Gray|first6=Robin Ritchie|last7=Wong|first7=Jason Kam|title=Portal hypertension: Imaging of portosystemic collateral pathways and associated image-guided therapy|journal=World Journal of Gastroenterology|volume=23|issue=10|year=2017|pages=1735|issn=1007-9327|doi=10.3748/wjg.v23.i10.1735}}</ref>
* [[Collaterals]] in any [[Abdominal organs|abdominal organ]]
* [[Splenomegaly]]
* [[Splenomegaly]]
* [[Ascites]]
* [[Ascites]]
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{|
{|
|[[Image:Cirrhosis-secondary-to-chronic-hepatitis-c.jpg|thumb|290px|Cirrhosis-Case courtesy of Dr David Cuete, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/23057">rID: 23057</ref>]]
|[[Image:Cirrhosis-secondary-to-chronic-hepatitis-c.jpg|thumb|250px|Cirrhosis-Case courtesy of Dr David Cuete, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/23057">rID: 23057</ref>]]
|[[Image:Cirrhosis111.jpg|thumb|290px|Cirrhosis-Case courtesy of Dr David Cuete, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/23057">rID: 23057</ref>]]
|[[Image:Cirrhosis111.jpg|thumb|250px|Cirrhosis-Case courtesy of Dr David Cuete, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/23057">rID: 23057</ref>]]
|[[Image:Cirrhotic-liver-in-wilson-disease.jpg|thumb|270px|Cirrhotic liver in wilson disease-Case courtesy of A.Prof Frank Gaillard, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/5379">rID: 5379</ref>]]
|[[Image:Cirrhotic-liver-in-wilson-disease.jpg|thumb|230px|Cirrhotic liver in wilson disease-Case courtesy of A.Prof Frank Gaillard, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/5379">rID: 5379</ref>]]
|[[Image:Oesophageal-varices.jpg|thumb|330px|Esophageal varices-Case courtesy of Dr Roberto Schubert, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/15852">rID: 15852</ref>]]
|[[Image:Oesophageal-varices.jpg|thumb|300px|Esophageal varices-Case courtesy of Dr Roberto Schubert, via Radiopaedia.org<ref>From the case <"https://radiopaedia.org/cases/15852">rID: 15852</ref>]]
|}
|}


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{|
{|
|[[Image:Uv1.jpg|thumb|400px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv1.jpg|thumb|380px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv2.jpg|thumb|400px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv2.jpg|thumb|380px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv3.jpg|thumb|400px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv3.jpg|thumb|380px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|-|
|-|
|[[Image:Uv4.jpg|thumb|400px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv4.jpg|thumb|380px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv5.jpg|thumb|400px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv5.jpg|thumb|380px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv6.jpg|thumb|400px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|[[Image:Uv6.jpg|thumb|380px|Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org<ref name="https://radiopaedia.org/">Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810</ref>]]
|}
|}
==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Hepatology]]
[[Category:Hepatology]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:needs content]]
[[Category:Emergency medicine]]
[[Category:Needs overview]]
[[Category:Up-To-Date]]
[[Category:Radiology]]


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{{WH}}
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Latest revision as of 14:17, 7 December 2017

Portal Hypertension Microchapters

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

Overview

Abdominal CT scan may be helpful in the diagnosis of portal hypertension. Findings on CT scan suggestive of portal hypertension include re-canalized umbilical vein, dilated portal vein and/or splanchnic veins, esophageal varices, collaterals in any abdominal organ, splenomegaly, and ascites.

CT

Abdominal CT scan may be helpful in the diagnosis of portal hypertension. Findings on CT scan suggestive of portal hypertension include:[1][2][3][4]

Portal hypertension

Cirrhosis-Case courtesy of Dr David Cuete, via Radiopaedia.org[5]
Cirrhosis-Case courtesy of Dr David Cuete, via Radiopaedia.org[6]
Cirrhotic liver in wilson disease-Case courtesy of A.Prof Frank Gaillard, via Radiopaedia.org[7]
Esophageal varices-Case courtesy of Dr Roberto Schubert, via Radiopaedia.org[8]

Recanalized Umbilical Vein

Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org[9]
Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org[9]
Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org[9]
Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org[9]
Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org[9]
Recanalized Umbilical Vein- Case courtesy of Radswiki, via Radiopaedia.org[9]

References

  1. ↑ Procopet, Bogdan; Berzigotti, Annalisa (2017). "Diagnosis of cirrhosis and portal hypertension: imaging, non-invasive markers of fibrosis and liver biopsy". Gastroenterology Report. 5 (2): 79–89. doi:10.1093/gastro/gox012. ISSN 2052-0034.
  2. ↑ Aagaard, J; Jensen, LI; Sorensen, TI; Christensen, U; Burcharth, F (1982). "Recanalized umbilical vein in portal hypertension". American Journal of Roentgenology. 139 (6): 1107–1110. doi:10.2214/ajr.139.6.1107. ISSN 0361-803X.
  3. ↑ Cho, K C; Patel, Y D; Wachsberg, R H; Seeff, J (1995). "Varices in portal hypertension: evaluation with CT". RadioGraphics. 15 (3): 609–622. doi:10.1148/radiographics.15.3.7624566. ISSN 0271-5333.
  4. ↑ Bandali, Murad Feroz; Mirakhur, Anirudh; Lee, Edward Wolfgang; Ferris, Mollie Clarke; Sadler, David James; Gray, Robin Ritchie; Wong, Jason Kam (2017). "Portal hypertension: Imaging of portosystemic collateral pathways and associated image-guided therapy". World Journal of Gastroenterology. 23 (10): 1735. doi:10.3748/wjg.v23.i10.1735. ISSN 1007-9327.
  5. ↑ From the case <"https://radiopaedia.org/cases/23057">rID: 23057
  6. ↑ From the case <"https://radiopaedia.org/cases/23057">rID: 23057
  7. ↑ From the case <"https://radiopaedia.org/cases/5379">rID: 5379
  8. ↑ From the case <"https://radiopaedia.org/cases/15852">rID: 15852
  9. ↑ 9.0 9.1 9.2 9.3 9.4 9.5 Radiopaedia.org. From the case <"https://radiopaedia.org/cases/11810">rID: 11810

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