Diagnostic Value of Doppler Ultrasonography in Non-invasive Diagnosis of Chronic Liver Disease and Portal Hypertension
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2016, Vol 5, Issue 4
Abstract
ABSTRACT Introduction: A number of disorders can affect the hepatic parenchyma, leading to chronic liver disease (CLD). CLD and cirrhosis are a significant cause of morbidity and mortality in developing nations and ultimately lead to the development of portal hypertension (PHT). Aim: To assess the portal and hepatic vein hemodynamics in patients of CLD and PHT using Doppler ultrasonography (USG). Materials and Methods: This prospective study was carried out in 50 biopsy and/or biochemically proven cases of CLD. Doppler USG was performed and flow hemodynamics in hepatic veins and portal vein was assessed. Results: Portal vein diameter >13mm was seen in 22.2% cases of CLD without PHT whereas, PV diameter >13mm was seen in 56.2% cases with PHT. Also dilatation of the splenic vein (> 10mm) was observed in 46.9% patients of CLD with PHT. Reduced mean peak portal vein velocity (PVV) was observed in patients with CLD (14.2cm/sec) and CLD with PHT (12.3cm/sec). Altered hepatic vein morphology was seen in 74% cases of CLD. Conclusion: Doppler USG evaluation of hepatic and portal vein hemodynamics is a very useful tool in the non-invasive diagnosis of CLD and can be reliably used to distinguish patients of CLD with and without PHT.
Authors and Affiliations
Manik Mahajan, Poonam Sharma, Puneet Gupta, Rattan Paul, Rajesh Sharma, Manjit Arora
Keywords
Related Articles
- EP ID EP477808
- DOI 10.7860/IJARS/2016/21653:2198
- Views 120
- Downloads 0
Mandibular Third Molars and Their Influence on Mandibular Angle Fracture Fixation
ABSTRACT Introduction: Mandibular fractures occur commonly in Singapore and 32% involve the angle. The third molar (M3) predisposes the angle to fracture and is often involved in the fracture site. During fixation, it is...
Duplication Cyst Presenting as Intussusception: Report of Two Cases
ABSTRACT Duplication cysts are one of the rare congenital anomalies affecting the gastrointestinal tract. Small intestine is the most common site followed by colonic and gastric duplications. The commonest presentation i...
An Interesting Case of Isolated Renal Stab Injury
ABSTRACT Isolated renal penetrating injury requiring exploration is rare. Kidney is retroperitoneal organ with strong muscular and rib cage support. Added to this Gerota’s fascia prevent direct injury to renal parenchyma...
Computed Tomography-Guided Core Needle Biopsy of The Thoracic Lesions: A One Year Observational Study
Introduction: The evaluation and diagnosis of the thoracic lesions by conventional methods leads to increased morbidity. Computed tomography (CT)-guided core biopsy is minimally invasive, accurate for needle puncture loc...
Case Report : Spontaneous Caecal Rupture – A Disaster
ABSTRACT We present a case of a spontaneous caecal rupture in a 70 years old man with history of undergoing Trans Urethral Resection of Prostate (TURP) prior to the above presentation. The patient presented postoperative...