European Journal of Radiology
Volume 75, Issue 2 , Pages 185-188 , August 2010

Diagnosis of portal vein thrombosis discontinued with liver tumors in patients with liver cirrhosis and tumors by contrast-enhanced US: A pilot study

  • Ze-Zhou Song

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China
    • ,
  • Min Huang

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China
    • ,
  • Tian-An Jiang

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China
    • Corresponding Author InformationCorresponding author. Tel.: +86 571 8723 6628; fax: +86 571 8723 6628.
    • ,
  • Qi-Yu Zhao

      Affiliations

    • Department of Hepatobiliary Pancreatic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
    • ,
  • Lei Yao

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China
    • ,
  • Yun Mou

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China
    • ,
  • Jun-Kang Zhao

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China
    • ,
  • Jian-Yang Ao

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China
    • ,
  • Fen Chen

      Affiliations

    • Department of Hepatobiliary Pancreatic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
    • ,
  • Yan Chen

      Affiliations

    • Department of Ultrasound, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, China

Received 26 February 2009 ,Accepted 7 April 2009.

References 

  1. Cohen J, Edelman RR, Chopra S. Portal vein thrombosis: a review. Am J Med. 1992;92:173–182
  2. Valla DC, Condat B. Portal vein thrombosis in adults: pathophysiology, pathogenesis and management. J Hepatol. 2000;32:865–871
  3. Abbitt PL. Portal vein thrombosis: imaging features and associated etiologies. Curr Probl Diagn Radiol. 1992;21:115–147
  4. Plemmons RM, Dooley DP, Longfield RN. Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. Clin Infect Dis. 1995;21:1114–1120
  5. Baddley JW, Singh D, Correa P, et al. Crohn's disease presenting as septic thrombophlebitis of the portal vein (pylephlebitis): case report and review of the literature. Am J Gastroenterol. 1999;94:847–849
  6. Amitrano L, Brancaccio V, Guardascione MA, et al. Portal vein thrombosis after variceal endoscopic sclerotherapy in cirrhotic patients: role of genetic thrombophilia. Endoscopy. 2002;34:535–538
  7. Hunter GC, Steinkirchner T, Burbige EJ, et al. Venous complications of sclerotherapy for esophageal varices. Am J Surg. 1998;156:497–501
  8. Lencioni R, Caramella D, Sanguinetti F, et al. Portal vein thrombosis after percutaneous ethanol injection for hepatocellular carcinoma: value of color Doppler sonography in distinguishing chemical and tumor thrombi. AJR. 1995;164:1125–1130
  9. Francica G, Marone G, Solbiati L, et al. Hemobilia, intrahepatic hematoma and acute thrombosis with cavernomatous transformation of the portal vein after percutaneous thermoablation of a liver metastasis. Eur Radiol. 2000;10:926–929
  10. Tarantino L, Francica G, Sordelli I, 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. 2006;31:537–544
  11. Janssen HLA, Wijnhoud A, Haagsma EB, et al. Extrahepatic portal vein thrombosis: aetiology and determinants of survival. Gut. 2001;49:720–724
  12. Rossi S, Rosa L, Ravetta V, et al. Contrast-enhanced versus conventional and color Doppler sonography for the detection of thrombosis of the portal and hepatic venous systems. AJR. 2006;186:763–773
  13. Tanaka K, Numata K, Okazaki H, et al. Diagnosis of portal vein thrombosis in patients with hepatocellular carcinoma: efficacy of color Doppler sonography compared with angiography. AJR. 1993;160:1279–1283
  14. Baril N, Wren S, Radin R, Ralls P, Stain S. The role of anticoagulation in pylephlebitis. Am J Surg. 1996;172:449–453

PII: S0720-048X(09)00219-8

doi: 10.1016/j.ejrad.2009.04.021

European Journal of Radiology
Volume 75, Issue 2 , Pages 185-188 , August 2010

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