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Ultrasound
Diagnosis
Vascular
Chest and Abdomen
Liver
Portosystemic Collaterals
Portosystemic Collaterals
Sheila Sheth, MD; Mark E. Lockhart, MD, MPH
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Scanning Tips

            TERMINOLOGY

            • Abbreviations

              • Portosystemic collaterals (PSC)

            • Definitions

              • Collateral pathways through which portal blood flow is diverted to systemic venous circulation in response to elevated portal venous pressure

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Bernard O et al: Congenital portosystemic shunts in children: recognition, evaluation, and management. Semin Liver Dis. 32(4):273-87, 2012
                                    2. Kim MJ et al: Clinical features of congenital portosystemic shunt in children. Eur J Pediatr. 171(2):395-400, 2012
                                    3. Bhargava P et al: Pictorial review. Hepatic vascular shunts: embryology and imaging appearances. Br J Radiol. 84(1008):1142-52, 2011
                                    4. Ito K et al: Imaging findings of unusual intra- and extrahepatic portosystemic collaterals. Clin Radiol. 64(2):200-7, 2009
                                    5. Zardi EM et al: Portosystemic shunts in a large cohort of patients with liver cirrhosis: detection rate and clinical relevance. J Gastroenterol. 44(1):76-83, 2009
                                    6. Stringer MD: The clinical anatomy of congenital portosystemic venous shunts. Clin Anat. 21(2):147-57, 2008
                                    7. Corness JA et al: The portal vein in children: radiological review of congenital anomalies and acquired abnormalities. Pediatr Radiol. 36(2):87-96, quiz 170-1, 2006
                                    8. Gallego C et al: Congenital hepatic shunts. Radiographics. 2004 May-Jun;24(3):755-72. Review. Erratum in: Radiographics. 24(5):1514, 2004
                                    9. Gallego C et al: Congenital and acquired anomalies of the portal venous system. Radiographics. 22(1):141-59, 2002
                                    10. Görg C et al: Pictorial review: Colour Doppler ultrasound flow patterns in the portal venous system. Br J Radiol. 75(899):919-29, 2002
                                    11. Wachsberg RH et al: Hepatofugal flow in the portal venous system: pathophysiology, imaging findings, and diagnostic pitfalls. Radiographics. 22(1):123-40, 2002
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            • Scanning Tips

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Portosystemic collaterals (PSC)

                                              • Definitions

                                                • Collateral pathways through which portal blood flow is diverted to systemic venous circulation in response to elevated portal venous pressure

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Microscopic Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Bernard O et al: Congenital portosystemic shunts in children: recognition, evaluation, and management. Semin Liver Dis. 32(4):273-87, 2012
                                                                      2. Kim MJ et al: Clinical features of congenital portosystemic shunt in children. Eur J Pediatr. 171(2):395-400, 2012
                                                                      3. Bhargava P et al: Pictorial review. Hepatic vascular shunts: embryology and imaging appearances. Br J Radiol. 84(1008):1142-52, 2011
                                                                      4. Ito K et al: Imaging findings of unusual intra- and extrahepatic portosystemic collaterals. Clin Radiol. 64(2):200-7, 2009
                                                                      5. Zardi EM et al: Portosystemic shunts in a large cohort of patients with liver cirrhosis: detection rate and clinical relevance. J Gastroenterol. 44(1):76-83, 2009
                                                                      6. Stringer MD: The clinical anatomy of congenital portosystemic venous shunts. Clin Anat. 21(2):147-57, 2008
                                                                      7. Corness JA et al: The portal vein in children: radiological review of congenital anomalies and acquired abnormalities. Pediatr Radiol. 36(2):87-96, quiz 170-1, 2006
                                                                      8. Gallego C et al: Congenital hepatic shunts. Radiographics. 2004 May-Jun;24(3):755-72. Review. Erratum in: Radiographics. 24(5):1514, 2004
                                                                      9. Gallego C et al: Congenital and acquired anomalies of the portal venous system. Radiographics. 22(1):141-59, 2002
                                                                      10. Görg C et al: Pictorial review: Colour Doppler ultrasound flow patterns in the portal venous system. Br J Radiol. 75(899):919-29, 2002
                                                                      11. Wachsberg RH et al: Hepatofugal flow in the portal venous system: pathophysiology, imaging findings, and diagnostic pitfalls. Radiographics. 22(1):123-40, 2002