Hepatic venous outflow obstruction due to occlusion of terminal hepatic venules and sinusoids
IMAGING
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Chan SS et al: Imaging in hepatic veno-occlusive disease/sinusoidal obstruction syndrome. Biol Blood Marrow Transplant. 26(10):1770-9, 2020
Elsayes KM et al: A comprehensive approach to hepatic vascular disease. Radiographics. 37(3):813-6, 2017
Li X et al: Magnetic Resonance imaging findings in patients with pyrrolizidine alkaloid-induced hepatic sinusoidal obstruction syndrome. Clin Gastroenterol Hepatol. 15(6):955-7, 2017
Yakushijin K et al: Sinusoidal obstruction syndrome after allogeneic hematopoietic stem cell transplantation: incidence, risk factors and outcomes. Bone Marrow Transplant. 51(3):403-9, 2016
Gao H et al: Definitive diagnosis of hepatic sinusoidal obstruction syndrome induced by pyrrolizidine alkaloids. J Dig Dis. 13(1):33-9, 2012
Jevtic D et al: Veno-occlusive disease in pediatric patients after hematopoietic stem cell transplantation: relevance of activated coagulation and fibrinolysis markers and natural anticoagulants. J Pediatr Hematol Oncol. 33(3):227-34, 2011
Lin G et al: Hepatic sinusoidal obstruction syndrome associated with consumption of Gynura segetum. J Hepatol. 54(4):666-73, 2011
Mahgerefteh SY et al: Radiologic imaging and intervention for gastrointestinal and hepatic complications of hematopoietic stem cell transplantation. Radiology. 258(3):660-71, 2011
Menke J: Education and imaging. Hepatobiliary and pancreatic: sinusoidal obstruction syndrome during chemotherapy. J Gastroenterol Hepatol. 26(6):1083, 2011
Sanei MH et al: Acute cellular rejection resulting in sinusoidal obstruction syndrome and ascites postliver transplantation. Transplantation. 92(10):1152-8, 2011
Sebagh M et al: Significance of isolated hepatic veno-occlusive disease/sinusoidal obstruction syndrome after liver transplantation. Liver Transpl. 17(7):798-808, 2011
Song MK et al: Hepatic artery resistance index at doppler ultrasonography is a useful parameter of hepatic graft-vs-host disease after allogeneic stem cell transplantation. Transplant Proc. 42(9):3717-22, 2010
Hepatic venous outflow obstruction due to occlusion of terminal hepatic venules and sinusoids
IMAGING
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Chan SS et al: Imaging in hepatic veno-occlusive disease/sinusoidal obstruction syndrome. Biol Blood Marrow Transplant. 26(10):1770-9, 2020
Elsayes KM et al: A comprehensive approach to hepatic vascular disease. Radiographics. 37(3):813-6, 2017
Li X et al: Magnetic Resonance imaging findings in patients with pyrrolizidine alkaloid-induced hepatic sinusoidal obstruction syndrome. Clin Gastroenterol Hepatol. 15(6):955-7, 2017
Yakushijin K et al: Sinusoidal obstruction syndrome after allogeneic hematopoietic stem cell transplantation: incidence, risk factors and outcomes. Bone Marrow Transplant. 51(3):403-9, 2016
Gao H et al: Definitive diagnosis of hepatic sinusoidal obstruction syndrome induced by pyrrolizidine alkaloids. J Dig Dis. 13(1):33-9, 2012
Jevtic D et al: Veno-occlusive disease in pediatric patients after hematopoietic stem cell transplantation: relevance of activated coagulation and fibrinolysis markers and natural anticoagulants. J Pediatr Hematol Oncol. 33(3):227-34, 2011
Lin G et al: Hepatic sinusoidal obstruction syndrome associated with consumption of Gynura segetum. J Hepatol. 54(4):666-73, 2011
Mahgerefteh SY et al: Radiologic imaging and intervention for gastrointestinal and hepatic complications of hematopoietic stem cell transplantation. Radiology. 258(3):660-71, 2011
Menke J: Education and imaging. Hepatobiliary and pancreatic: sinusoidal obstruction syndrome during chemotherapy. J Gastroenterol Hepatol. 26(6):1083, 2011
Sanei MH et al: Acute cellular rejection resulting in sinusoidal obstruction syndrome and ascites postliver transplantation. Transplantation. 92(10):1152-8, 2011
Sebagh M et al: Significance of isolated hepatic veno-occlusive disease/sinusoidal obstruction syndrome after liver transplantation. Liver Transpl. 17(7):798-808, 2011
Song MK et al: Hepatic artery resistance index at doppler ultrasonography is a useful parameter of hepatic graft-vs-host disease after allogeneic stem cell transplantation. Transplant Proc. 42(9):3717-22, 2010
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