EVALUATION OF CASES OF PORTAL HYPERTENSION BY COLOUR DOPPLER AND ULTRASONOGRAPHY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 29
Abstract
BACKGROUND In adults, the normal portal venous pressure is 5-10 mmHg. Portal hypertension is defined as portal venous pressure of more than at least 5 mmHg greater than the pressure in the hepatic veins or inferior vena cava.1 Clinically significant portal hypertension, sufficient to cause serious complications and therefore requiring treatment, is defined as an increase of 12 mmHg. The objective of the study is to study the role of ultrasound and colour doppler sonography in 1. evaluation of portal hypertension, 2. identifying specific features of portal hypertension on these modalities, that permit its accurate diagnosis and 3. detecting the complications at an early stage. MATERIALS AND METHODS Forty adult patients referred to the radiodiagnosis department of Sri Lakshmi Narayana Institute of Medical Sciences with clinical diagnosis of portal hypertension were included in study. All patients included in the study underwent ultrasonography (USG) of abdomen using a curvilinear and a sector probe of 3.5-5.0 MHZ coupled with colour Doppler equipment. Statistical analysis was done using percentage and proportions. RESULTS The most common age group presenting with portal hypertension was between 51-65 years. The frequency of portal hypertension was more in males. Diameter of portal vein of >13 mm was seen in 53% and <13 mm was seen in 47% cases. Splenomegaly and ascites were frequently associated with portal hypertension. Thrombosis of veins was more commonly seen in portal vein. Most frequent collaterals were seen in splenorenal and gastrorenal group. Cirrhosis was the most common aetiology. Eight percent of cases showed less than 20% increase in diameter with deep inspiration. CONCLUSION Colour Doppler and USG helps in precise evaluation of vascular anatomy in portal hypertension, in establishment of aetiology, haemodynamic changes and detecting its complications.
Authors and Affiliations
Karthikeyan B.
Keywords
Related Articles
- EP ID EP569179
- DOI 10.18410/jebmh/2018/447
- Views 84
- Downloads 0
CLINICAL PROFILE, AETIOLOGY & EEG CHARACTERISTICS OF NEONATAL SEIZURES
BACKGROUND Seizures are a common neonatal neurologic emergency, affecting approximately 1-4 per 1000 live births. The first 28 days of life (defining the neonatal period) represents the period of greatest seizure hazard...
POST-OPERATIVE MORTALITY IN INTERTROCHANTERIC FRACTURES IN ELDERLY
BACKGROUND Mortality after surgical treatment of hip fracture at the end of one-year ranges from 5- 50% according to western literature. Very few studies on this issue have been done in India. This study aims to answer t...
SUPERIOR MESENTERIC ARTERY SYNDROME - AN UNCOMMON CAUSE OF SMALL BOWEL OBSTRUCTION: A CASE REPORT
Superior Mesenteric Artery Syndrome (SMAS) or Wilkie's disease is a rare form of obstruction of the transverse part of duodenum entrapped between superior mesenteric artery and abdominal aorta. SMAS presentation is usual...
A STUDY OF FETAL OUTCOME IN OLIGOHYDRAMNIOS (AFI BETWEEN 0-7)
OBJECTIVES: Amniotic fluid Volume (AFV) is an important indicator of fetal wellbeing Oligohydramnios affects 0.5 to 5% of the pregnancy. In presence of Oligohydramnios if the AFI is 0-7 the fetal outcome is not good. If...
SEMI-QUANTITATIVE PROCALCITONIN KIT FOR EVALUATING SEVERITY AND PREDICTING MORTALITY IN SEPSIS
BACKGROUND Sepsis is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. Sepsis is caused by an immune response triggered by an infection. Most comm...