Portal hypertension

Portal hypertension is defined as portal venous pressure greater than 12 mmHg.

Causes can be split in their relation to the hepatic sinusoids:

Subtypes
Ultrasound
CT and MRI
  • dietary restriction
  • medication: propranolol, diuretics
  • interventional procedures
    • transjugular intrahepatic portosystemic shunt (TIPS)
    • surgical portosystemic shunt
    • balloon dilatation of hepatic vein (in case of thrombosis/web in hepatic vein)
    • transhepatic clot thrombolysis (in portal vein thrombosis)
    • splenic artery embolisation 3
    • liver transplantation
  • treatment of complications
Complications

Dilatation of splenic veins at the splenic hilum without splenomegaly may occur in situations such as state of increased perfusion of splenic tissue associated with an immune response 6.

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Article Information

rID: 1911
Section: Pathology
Synonyms or Alternate Spellings:
  • Increased portal venous pressure
  • Increased portal venous pressures

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Cases and Figures

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    Case 1: recanalised paraumbilical vein
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    Case 2: CF
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    CT Portal
    Case 3: varices
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    CT Portal
    Case 3: dilated portal vein
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    Case 4: recanalised paraumbilical vein
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    Case 5
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