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Portal Vein Occlusion
Aya Kamaya, MD, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Scanning Tips

            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

                                      1. 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
                                      2. 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
                                      3. Danila M et al: Portal vein thrombosis in liver cirrhosis - the added value of contrast enhanced ultrasonography. Med Ultrason. 18(2):218-33, 2016
                                      4. Manzano-Robleda Mdel C et al: Portal vein thrombosis: what is new? Ann Hepatol. 14(1):20-7, 2015
                                      5. Handa P et al: Portal vein thrombosis: a clinician-oriented and practical review. Clin Appl Thromb Hemost. 20(5):498-506, 2014
                                      6. Parikh S et al: Portal vein thrombosis. Am J Med. 123(2):111-9, 2010
                                      7. 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
                                      8. 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
                                      9. 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
                                      10. Grisham A et al: Deciphering mesenteric venous thrombosis: imaging and treatment. Vasc Endovascular Surg. 39(6):473-9, 2005
                                      11. Hidajat N et al: Imaging and radiological interventions of portal vein thrombosis. Acta Radiol. 46(4):336-43, 2005
                                      12. Hidajat N et al: Portal vein thrombosis: etiology, diagnostic strategy, therapy and management. Vasa. 34(2):81-92, 2005
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Scanning Tips

                                                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

                                                                          1. 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
                                                                          2. 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
                                                                          3. Danila M et al: Portal vein thrombosis in liver cirrhosis - the added value of contrast enhanced ultrasonography. Med Ultrason. 18(2):218-33, 2016
                                                                          4. Manzano-Robleda Mdel C et al: Portal vein thrombosis: what is new? Ann Hepatol. 14(1):20-7, 2015
                                                                          5. Handa P et al: Portal vein thrombosis: a clinician-oriented and practical review. Clin Appl Thromb Hemost. 20(5):498-506, 2014
                                                                          6. Parikh S et al: Portal vein thrombosis. Am J Med. 123(2):111-9, 2010
                                                                          7. 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
                                                                          8. 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
                                                                          9. 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
                                                                          10. Grisham A et al: Deciphering mesenteric venous thrombosis: imaging and treatment. Vasc Endovascular Surg. 39(6):473-9, 2005
                                                                          11. Hidajat N et al: Imaging and radiological interventions of portal vein thrombosis. Acta Radiol. 46(4):336-43, 2005
                                                                          12. Hidajat N et al: Portal vein thrombosis: etiology, diagnostic strategy, therapy and management. Vasa. 34(2):81-92, 2005