Obstruction of PV, most commonly due to thrombosis
Cavernous transformation of PV: Portal venous collateralization secondary to PV thrombosis
IMAGING
General Features
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Chen J et al: Contrast-enhanced ultrasound for the characterization of portal vein thrombosis vs tumor-in-vein in HCC patients: a systematic review and meta-analysis. Eur Radiol. 30(5):2871-80, 2020
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
Danila M et al: Portal vein thrombosis in liver cirrhosis - the added value of contrast enhanced ultrasonography. Med Ultrason. 18(2):218-33, 2016
Manzano-Robleda Mdel C et al: Portal vein thrombosis: what is new? Ann Hepatol. 14(1):20-7, 2015
Handa P et al: Portal vein thrombosis: a clinician-oriented and practical review. Clin Appl Thromb Hemost. 20(5):498-506, 2014
Parikh S et al: Portal vein thrombosis. Am J Med. 123(2):111-9, 2010
Piscaglia F et al: Criteria for diagnosing benign portal vein thrombosis in the assessment of patients with cirrhosis and hepatocellular carcinoma for liver transplantation. Liver Transpl. 16(5):658-67, 2010
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
Tarantino L et al: Diagnosis of benign and malignant portal vein thrombosis in cirrhotic patients with hepatocellular carcinoma: color Doppler US, contrast-enhanced US, and fine-needle biopsy. Abdom Imaging. 31(5):537-44, 2006
Grisham A et al: Deciphering mesenteric venous thrombosis: imaging and treatment. Vasc Endovascular Surg. 39(6):473-9, 2005
Hidajat N et al: Imaging and radiological interventions of portal vein thrombosis. Acta Radiol. 46(4):336-43, 2005
Hidajat N et al: Portal vein thrombosis: etiology, diagnostic strategy, therapy and management. Vasa. 34(2):81-92, 2005
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KEY FACTS
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TERMINOLOGY
Abbreviations
Portal vein (PV)
Definitions
Obstruction of PV, most commonly due to thrombosis
Cavernous transformation of PV: Portal venous collateralization secondary to PV thrombosis
IMAGING
General Features
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Chen J et al: Contrast-enhanced ultrasound for the characterization of portal vein thrombosis vs tumor-in-vein in HCC patients: a systematic review and meta-analysis. Eur Radiol. 30(5):2871-80, 2020
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
Danila M et al: Portal vein thrombosis in liver cirrhosis - the added value of contrast enhanced ultrasonography. Med Ultrason. 18(2):218-33, 2016
Manzano-Robleda Mdel C et al: Portal vein thrombosis: what is new? Ann Hepatol. 14(1):20-7, 2015
Handa P et al: Portal vein thrombosis: a clinician-oriented and practical review. Clin Appl Thromb Hemost. 20(5):498-506, 2014
Parikh S et al: Portal vein thrombosis. Am J Med. 123(2):111-9, 2010
Piscaglia F et al: Criteria for diagnosing benign portal vein thrombosis in the assessment of patients with cirrhosis and hepatocellular carcinoma for liver transplantation. Liver Transpl. 16(5):658-67, 2010
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
Tarantino L et al: Diagnosis of benign and malignant portal vein thrombosis in cirrhotic patients with hepatocellular carcinoma: color Doppler US, contrast-enhanced US, and fine-needle biopsy. Abdom Imaging. 31(5):537-44, 2006
Grisham A et al: Deciphering mesenteric venous thrombosis: imaging and treatment. Vasc Endovascular Surg. 39(6):473-9, 2005
Hidajat N et al: Imaging and radiological interventions of portal vein thrombosis. Acta Radiol. 46(4):336-43, 2005
Hidajat N et al: Portal vein thrombosis: etiology, diagnostic strategy, therapy and management. Vasa. 34(2):81-92, 2005
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