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Ultrasound diagnosis of extrahepatic portal vein obstruction in childhood

The sign of the subhepatic sponge-like mass

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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.

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References

  1. Bismuth, H., Franco, D.: Portal diversion for portal hypertension in early childhood. Ann. Surg.183, 439 (1976)

    PubMed  Google Scholar 

  2. Burger, J., Blavenstein, V. W.: Current aspects of ultrasonic scanning of the pancreas. A. J. R.122, 406 (1974)

    Google Scholar 

  3. 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)

    PubMed  Google Scholar 

  4. Donald, I., Brown, T. G.: Demonstration of tissue interfaces within the body by ultrasonic echo sounding. Br. J. Radiol.34, 539 (1961)

    PubMed  Google Scholar 

  5. Gates, G. F., Miller, J. H.: Combined radionuclide and ultrasonic assessment of upper abdominal masses in children. A. J. R.128, 773 (1977)

    Google Scholar 

  6. 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)

    PubMed  Google Scholar 

  7. 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)

    Google Scholar 

  8. Leopold, G. R.: Gray scale ultrasonic angiography of the upper abdomen. Radiology117, 665 (1975)

    PubMed  Google Scholar 

  9. 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)

    Google Scholar 

  10. Rösch, J., Dotter, C. F.: Extrahepatic portal obstruction in childhood and its angiographic diagnosis. A. J. R.112, 143 (1971)

    Google Scholar 

  11. Sample, W. P.: Techniques for improved delineation of normal anatomy of the upper abdomen and high retroperitoneum with gray scale ultrasound. Radiology124, 197 (1977)

    PubMed  Google Scholar 

  12. 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)

    Google Scholar 

  13. 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)

    PubMed  Google Scholar 

  14. 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)

    PubMed  Google Scholar 

  15. 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)

    PubMed  Google Scholar 

  16. Taylor, K. J. W.: Ultrasonic investigation of inferior venacaval obstruction. Br. J. Radiol.48, 1024 (1975)

    PubMed  Google Scholar 

  17. 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)

    PubMed  Google Scholar 

  18. Voorhees, A. B., Harris, R. L., Britton, R. L., Brice, J. B., Santolli, T. V.: Portal hypertension in children. Surgery58, 540 (1965)

    PubMed  Google Scholar 

  19. 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)

    PubMed  Google Scholar 

  20. 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)

    PubMed  Google Scholar 

  21. 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)

    PubMed  Google Scholar 

  22. 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)

    PubMed  Google Scholar 

  23. Weill, F., Maurat, P.: The sign of the vena cave: echotomographic illustration of right cardiac insufficiency. J. Clin. Ultrasound2, 27 (1974)

    PubMed  Google Scholar 

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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

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