Portal vein thrombosis complicating viralcirrhosis - Color Ultrasound


Title: Color Ultrasound - Portal vein thrombosis complicating viralcirrhosis
Diagnosis: Portal vein thrombosis complicating viralcirrhosis
Hospital: HUG
Department: Radiologie
Date: 21.03.2003
: 4292
Chapter: Liver & Spleen

Clinical Presentation: Work-up of alcoholiccirrhosis.
Comment: Myriad causes of portal vein thrombosis(PVT) exist. PVTcan be
idiopathic in children. In adults, PVT can be encountered incirrhosis, HCC, polycythemia,
pancreatitis, septicemia,and trauma.Associated to cirrhosis: Portal vein >13mm (50 %
sensitivity,100 % specificity) Recanalized umbilical vein > 3mm Loss ofrespiratory increase
of splanchnic vein diameter (80 % sensitivity,100 % specificity) Hepatofugal venous flow
(80 % sensitivity, 100%specificity) Cavernous transformation of portal vein
Increasedechogenicity and thickening of portal vein SplenomegalyAscites
Description: US displays classic signs of cirrhosis as well as anenlarged portal
vein and branches. Intraluminal thrombus is seenand on CDFI no flow is detected within
the vein. Collateral flow isrecognized by a tangled winding course of the venous
branchescharacterizing a cavernous transformation of the portal vein.
Thespleno-mesenteric confluence was patent.These findings wereconfirmed by CT.

Order: 1052
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0

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