Splenic vein thrombosis diagnostic study of choice

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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

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 SVT 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