Abstract
Portal vein obstruction in childhood produces portal hypertension and hepatopetal collaterals surrounding the obstructed portal vein; this is the “cavernomatous transformation of the portal vein” which is a well defined angiographic entity. Clinically findings are the various manifestations of Banti's syndrome, especially splenomegaly and gastrointestinal bleeding. Ultrasonic diagnosis is possible on the associated findings of splenomegaly, normal liver, a subhepatic sponge like mass corresponding to the hepatopetal collaterals. These signs must be sought in the ultrasonic differential diagnosis of splenomegaly in pediatrics.
Similar content being viewed by others
References
Bismuth, H., Franco, D.: Portal diversion for portal hypertension in early childhood. Ann. Surg.183, 439 (1976)
Burger, J., Blavenstein, V. W.: Current aspects of ultrasonic scanning of the pancreas. A. J. R.122, 406 (1974)
Carlsen, E. N., Filly, R. A.: Newer ultrasonographic anatomy in the upper abdomen: I — the portal and hepatic venous anatomy. J. Clin. Ultrasound4 85 (1976)
Donald, I., Brown, T. G.: Demonstration of tissue interfaces within the body by ultrasonic echo sounding. Br. J. Radiol.34, 539 (1961)
Gates, G. F., Miller, J. H.: Combined radionuclide and ultrasonic assessment of upper abdominal masses in children. A. J. R.128, 773 (1977)
Hunig, R.: Ultrasonic diagnosis in pediatrics. The state of art of ultrasonic diagnosis in pediatrics to day. Part I. Pediatr. Radiol.4, 108 (1976); Part II. Pediatr. Radiol.4, 175 (1976)
Leger, L., Dentan, Th., Gillot, C., Bacourt, F.: Traitement chirurgical des cavernomes de la veine porte. 56 cas dont 42 opérés. J. Chir. (Paris)109, 551 (1975)
Leopold, G. R.: Gray scale ultrasonic angiography of the upper abdomen. Radiology117, 665 (1975)
Levy, J. M., Stoll, C., Amar, V., Tongio, J., Grumbach, Y., Bouaziz, M.: Thrombose de la veine porte chez trois enfants. Rôle étiologique de la perfusion veneuse ombilicale prolongée à la période néonatale. Ann. Pédiatr.21, 161 (1974)
Rösch, J., Dotter, C. F.: Extrahepatic portal obstruction in childhood and its angiographic diagnosis. A. J. R.112, 143 (1971)
Sample, W. P.: Techniques for improved delineation of normal anatomy of the upper abdomen and high retroperitoneum with gray scale ultrasound. Radiology124, 197 (1977)
Sanders, R. C., Conrad, M. R., White, R. I.: Normal and abnormal upper abdominal venous structures as seen by ultrasound. A. J. R.128, 657 (1977)
Sarrut, S., Alain, J., Alison, F.: Les complications précoces de la perfusion par la veine ombilicale chez le prématuré. Arch. Fr. Pediatr.26, 651 (1969)
Sarti, D. A., Lindstrom, R. R., Tabrisky, J.: Correlation of the ultrasonic appearance of the portal vein with abdominal arteriography. J. Clin. Ultrasound,3, 263 (1975)
Skolnick, M. L., Royal, D. R.: Normal upper abdominal vasculature: a study correlating contact B-scanning with arteriography and gross anatomy. J. Clin. Ultrasound4, 399 (1976)
Taylor, K. J. W.: Ultrasonic investigation of inferior venacaval obstruction. Br. J. Radiol.48, 1024 (1975)
Taylor, K. J. W., Carpenter, D. A.: The anatomy and pathology of the porta hepatis demonstrated by gray scale ultrasonography. J. Clin. Ultrasound3, 117 (1975)
Voorhees, A. B., Harris, R. L., Britton, R. L., Brice, J. B., Santolli, T. V.: Portal hypertension in children. Surgery58, 540 (1965)
Vos, L. J. M., Potocky, V., Bröker, F. H. L., Devries, J. A., Postma, L., Edens, E.: Splenic vein thrombosis with oesophageal varices: a late complication of umbilical vein catheterization. Ann. Surg.180, 152 (1974)
Weill, F., Aucant, D., Bourgoin, A., Einsenscher, A., Gallinet, D.: Les repères vasculaires dans l'exploration ultrasonore du pancréas. J. Radiol. Electrol. Med. Nucl.55, 873 (1974)
Weill, F., Becker, J. C., Kraenbuhl, J. R., Milleret, P., Gillet, M.: Tomoechographie: le signe de la double paroi artérielle. Mise en évidence ultrasonore des dissections pariétales artérielles et des ruptures anévrysmales. Nouv. Presse Med.2, 227 (1973)
Weill, F., Eisenscher, A., Aucant, D., Bourgoin, A., Gallinet, D.: Ultrasonic study of venous patterns in the right hypochondrium: an anatomical approach to differential diagnosis of obstructive jaundice. J. Clin. Ultrasound3, 23 (1975)
Weill, F., Maurat, P.: The sign of the vena cave: echotomographic illustration of right cardiac insufficiency. J. Clin. Ultrasound2, 27 (1974)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Grand, M.P., Remy, J. Ultrasound diagnosis of extrahepatic portal vein obstruction in childhood. Pediatr Radiol 8, 155–159 (1979). https://doi.org/10.1007/BF00973825
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00973825