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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Portal vein thrombosis (PVT)
Definitions
- Acute, chronic, or neoplastic occlusion of PV due to thrombosis or tumor invasion
- Chronic PV occlusion with numerous periportal collaterals is referred to as cavernous transformation
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
- Kwon JH et al: Diagnostic role of contrast-enhanced ultrasound in the discrimination of malignant portal vein thrombosis in patients with hepatocellular carcinoma. Anticancer Res. 40(8):4351-63, 2020
- Zhao ZL et al: Imaging and pathological features of idiopathic portal hypertension and differential diagnosis from liver cirrhosis. Sci Rep. 10(1):2473, 2020
- Gawande R et al: MRI in differentiating malignant versus benign portal vein thrombosis in patients with hepatocellular carcinoma: value of post contrast imaging with subtraction. Eur J Radiol. 118:88-95, 2019
- Aumann EK et al: Diagnostic performances of intravoxel incoherent motion and conventional diffusion-weighted imaging in the differential diagnosis of benign and malignant portal vein thrombus. Abdom Radiol (NY). 43(9):2270-6, 2018
- Jha RC et al: Portal vein thrombosis: imaging the spectrum of disease with an emphasis on MRI features. AJR Am J Roentgenol. 211(1):14-24, 2018
- Tarantino L et al: Contrast-enhanced ultrasound in differentiating malignant from benign portal vein thrombosis in hepatocellular carcinoma. World J Gastroenterol. 21(32):9457-60, 2015
- Girleanu I et al: Natural course of nonmalignant partial portal vein thrombosis in cirrhotic patients. Saudi J Gastroenterol. 20(5):288-92, 2014
- Francoz C et al: Portal vein thrombosis, cirrhosis, and liver transplantation. J Hepatol. 57(1):203-12, 2012
- Gaba RC: Chemoembolization practice patterns and technical methods among interventional radiologists: results of an online survey. AJR Am J Roentgenol. 198(3):692-9, 2012
- Maconi G et al: Portal vein thrombosis in inflammatory bowel diseases: a single-center case series. J Crohns Colitis. 6(3):362-7, 2012
- Qi X et al: Degree of portal vein thrombosis might be associated with recanalization during anticoagulation. Clin Gastroenterol Hepatol. 10(7):820, 2012
- RodrÃguez-Castro KI et al: Optimal length of anticoagulant therapy in cirrhotic patients with portal vein thrombosis. Clin Gastroenterol Hepatol. 10(7):820-1, 2012
- Senzolo M et al: Prospective evaluation of anticoagulation and transjugular intrahepatic portosistemic shunt for the management of portal vein thrombosis in cirrhosis. Liver Int. 32(6):919-27, 2012
- Park DE et al: Chylous ascites caused by acute pancreatitis with portal vein thrombosis. J Korean Surg Soc. 81 Suppl 1:S64-8, 2011
- Rossi S et al: Contrast-enhanced ultrasonography and spiral computed tomography in the detection and characterization of portal vein thrombosis complicating hepatocellular carcinoma. Eur Radiol. 18(8):1749-56, 2008
- Tublin ME et al: Altered liver morphology after portal vein thrombosis: not always cirrhosis. Dig Dis Sci. 53(10):2784-8, 2008
- Gonzalez F et al: Extensive portal vein thrombosis related to abdominal trauma. Gastroenterol Clin Biol. 30(2):314-6, 2006
- Hidajat N et al: Imaging and radiological interventions of portal vein thrombosis. Acta Radiol. 46(4):336-43, 2005
- Okada T et al: Postoperative portal and splenic vein thrombosis in children: identification of risk factors. Pediatr Surg Int. 21(11):918-21, 2005
- Wang JT et al: Portal vein thrombosis. Hepatobiliary Pancreat Dis Int. 4(4):515-8, 2005
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References
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Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Portal vein thrombosis (PVT)
Definitions
- Acute, chronic, or neoplastic occlusion of PV due to thrombosis or tumor invasion
- Chronic PV occlusion with numerous periportal collaterals is referred to as cavernous transformation
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
- Kwon JH et al: Diagnostic role of contrast-enhanced ultrasound in the discrimination of malignant portal vein thrombosis in patients with hepatocellular carcinoma. Anticancer Res. 40(8):4351-63, 2020
- Zhao ZL et al: Imaging and pathological features of idiopathic portal hypertension and differential diagnosis from liver cirrhosis. Sci Rep. 10(1):2473, 2020
- Gawande R et al: MRI in differentiating malignant versus benign portal vein thrombosis in patients with hepatocellular carcinoma: value of post contrast imaging with subtraction. Eur J Radiol. 118:88-95, 2019
- Aumann EK et al: Diagnostic performances of intravoxel incoherent motion and conventional diffusion-weighted imaging in the differential diagnosis of benign and malignant portal vein thrombus. Abdom Radiol (NY). 43(9):2270-6, 2018
- Jha RC et al: Portal vein thrombosis: imaging the spectrum of disease with an emphasis on MRI features. AJR Am J Roentgenol. 211(1):14-24, 2018
- Tarantino L et al: Contrast-enhanced ultrasound in differentiating malignant from benign portal vein thrombosis in hepatocellular carcinoma. World J Gastroenterol. 21(32):9457-60, 2015
- Girleanu I et al: Natural course of nonmalignant partial portal vein thrombosis in cirrhotic patients. Saudi J Gastroenterol. 20(5):288-92, 2014
- Francoz C et al: Portal vein thrombosis, cirrhosis, and liver transplantation. J Hepatol. 57(1):203-12, 2012
- Gaba RC: Chemoembolization practice patterns and technical methods among interventional radiologists: results of an online survey. AJR Am J Roentgenol. 198(3):692-9, 2012
- Maconi G et al: Portal vein thrombosis in inflammatory bowel diseases: a single-center case series. J Crohns Colitis. 6(3):362-7, 2012
- Qi X et al: Degree of portal vein thrombosis might be associated with recanalization during anticoagulation. Clin Gastroenterol Hepatol. 10(7):820, 2012
- RodrÃguez-Castro KI et al: Optimal length of anticoagulant therapy in cirrhotic patients with portal vein thrombosis. Clin Gastroenterol Hepatol. 10(7):820-1, 2012
- Senzolo M et al: Prospective evaluation of anticoagulation and transjugular intrahepatic portosistemic shunt for the management of portal vein thrombosis in cirrhosis. Liver Int. 32(6):919-27, 2012
- Park DE et al: Chylous ascites caused by acute pancreatitis with portal vein thrombosis. J Korean Surg Soc. 81 Suppl 1:S64-8, 2011
- Rossi S et al: Contrast-enhanced ultrasonography and spiral computed tomography in the detection and characterization of portal vein thrombosis complicating hepatocellular carcinoma. Eur Radiol. 18(8):1749-56, 2008
- Tublin ME et al: Altered liver morphology after portal vein thrombosis: not always cirrhosis. Dig Dis Sci. 53(10):2784-8, 2008
- Gonzalez F et al: Extensive portal vein thrombosis related to abdominal trauma. Gastroenterol Clin Biol. 30(2):314-6, 2006
- Hidajat N et al: Imaging and radiological interventions of portal vein thrombosis. Acta Radiol. 46(4):336-43, 2005
- Okada T et al: Postoperative portal and splenic vein thrombosis in children: identification of risk factors. Pediatr Surg Int. 21(11):918-21, 2005
- Wang JT et al: Portal vein thrombosis. Hepatobiliary Pancreat Dis Int. 4(4):515-8, 2005
