Portal hypertension CT

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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]

Cirrhotic liver, as shrinkage and atrophy in liver
Re-canalized umbilical vein--pathognomonic
Dilated portal vein and/or splanchnic veins
Esophageal varices
Collaterals in any abdominal organ
Splenomegaly
Ascites

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

↑ 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.
↑ 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.
↑ 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.
↑ 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.
↑ From the case <"https://radiopaedia.org/cases/23057">rID: 23057
↑ From the case <"https://radiopaedia.org/cases/23057">rID: 23057
↑ From the case <"https://radiopaedia.org/cases/5379">rID: 5379
↑ From the case <"https://radiopaedia.org/cases/15852">rID: 15852
↑ ^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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[ProcopetBerzigotti2017-1] 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.

[AagaardJensen1982-2] 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.

[ChoPatel1995-3] 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.

[BandaliMirakhur2017-4] 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

[https://radiopaedia.org/-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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Portal hypertension CT

Overview

CT

References

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