. We may also examine portal vein status by means of sonography with regard to the portal vein diameter, hypertension, obstruction, thrombus and collaterals(3,7,8).
The spleen is the largest single mass of lymphoid tissue and part of the reticuloendothelial system, it is located in the left upper quadrant of the abdomen, just below the diaphragm(9,10). In embryonic and early fetal life, it actively participates in blood formation (hematopoiesis), however, blood formation activity decreases
Syed Amir Gilani,
Zain Ul Hasan
Journal of Ultrasonography , ISSUE 79, 276–281
A 53-year-old woman presented with left-sided abdominal pain, nausea and vomiting for the past 3 months with associated loss of appetite and weight. On physical examination, there was a large, ill-defined, firm mass at the epigastrium. Ultrasonography showed heterogeneously hypoechoic filling defect within the dilated main portal vein. The filling defect showed florid signals on Doppler mode and it appeared to be an extension of a larger periportal mass. Contrast enhanced abdominal
Sidney Ching Liang Ong,
Santha Kumari Batumaly,
Suryani Md Jusoh
Journal of Ultrasonography , ISSUE 75, 365–368
HCC, cirrhotomimetic HCC, or cirrhosis-like HCC(6–14).
Portal vein invasion is a known complicated feature of HCC, occurring by direct local venous extension or metastatic spread. However, the initial presentation of HCC as an isolated portal vein thrombosis is incredibly rare, with very few cases reported in the English literature to date(15).
We, herein, present an unusual case of HCC initially presenting as an isolated malignant portal vein thrombosis without any other findings suggesting HCC
Namık Kemal Altınbaş
Journal of Ultrasonography , ISSUE 80, e55–e60
We report a case of a 17-year-old patient referred to our outpatient Doppler Department due to clinical suspicion of liver cirrhosis. The patient presented with non-specifi c symptoms,such as malaise, pain in the right subcostal region, peripheral oedema. Until then,diagnostic imaging, including echocardiography was inconclusive. We performed the Doppler sonography of the portal system, which revealed normal diameter of the portal vein with abnormal, phasic and markedly pulsatile waveform
Journal of Ultrasonography , ISSUE 61, 227–230
Journal of Ultrasonography , ISSUE 61, 208–226
scoring system. In patients infected with hepatitis B virus or hepatitis C virus, spleen stiffness increases even when liver elasticity remains unaltered. Furthermore, it is useful in diagnosing portal hypertension or predicting existence of esophageal varices. Moreover, in patients suffering from biliary atresia after Kasai portoenterostomy, spleen sonoelastography may be helpful in selecting patients for liver transplantation as well as for choosing the best strategy for portal vein reconstruction
Journal of Ultrasonography , ISSUE 72, 37–41