Portal vein thrombosis echocardiography or ultrasound

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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

Ultrasound may be helpful in the diagnosis of portal vein thrombosis. Findings on an ultrasound diagnostic of portal vein thrombosis include .

Ultrasound

  • Ultrasound may be helpful in the diagnosis of portal vein thrombosis. Findings on an ultrasound diagnostic of portal vein thrombosis include:[1][2][3]
    • Echogenic material obstructing lumen of vessel
    • Complete or partial absence of flow in portal vein
    • Collateral circuits by-passing the obstructed vessel (most typical form is cavernoma)
    • Tangled tortuous vessels with irregular calibre (vessels include vasa vasorum of portal vein and the pericholecystic vessels
    • Hyperechoic material within the portal vein, with distension of the portal vein and its tributaries
Ultrasound showing portal vein thrombosis source:Case courtesy of Dr Bruno Di Muzio, Radiopaedia.org, rID: 19796


References

  1. Van Gansbeke D, Avni EF, Delcour C, Engelholm L, Struyven J (1985). "Sonographic features of portal vein thrombosis". AJR Am J Roentgenol. 144 (4): 749–52. doi:10.2214/ajr.144.4.749. PMID 3883708.
  2. Sacerdoti D, Serianni G, Gaiani S, Bolognesi M, Bombonato G, Gatta A (2007). "Thrombosis of the portal venous system". J Ultrasound. 10 (1): 12–21. doi:10.1016/j.jus.2007.02.007. PMC 3478708. PMID 23396402.
  3. Hidajat N, Stobbe H, Griesshaber V, Felix R, Schroder RJ (2005). "Imaging and radiological interventions of portal vein thrombosis". Acta Radiol. 46 (4): 336–43. PMID 16136689.

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