In the last decade, a superior mesenteric-intrahepatic left portal shunt (Rex shunt) has been reported for successful management of extrahepatic portal vein obstruction in children. However, in adults, a mesocaval shunt has been generally performed for the surgical management of extrahepatic portal vein obstruction because of the complexity of the underlying disease and the difficulty of the su...

INTRODUCTION Portal hypertension results from increased resistance to portal blood flow and has the potential complications of variceal bleeding and ascites. The splenoportal veins increase in caliber with worsening portal hypertension, and partially decompress by opening a shunt with systemic circulation, ie, a varix. In the event of portosystemic shunting, there is a differential decompressio...

Aim: The aim of this prospective study was to determine and compare the various parameters and indices of portal vein, hepatic artery and splenic artery by sonographic Doppler imaging in chronic hepatitis C patients and healthy individuals.Methods: 45 Chronic Hepatitis C patients and 90 Healthy adults formed two groups. All participants underwent color Doppler imaging of the portal vein, hepati...

Aneurysmal dilatation of the portal vein (ADPV) is a rare cause of portal hypertension. We described a case of ADPV in a female patient who presented with ascites. Imaging studies revealed tortuosity and dilatation of the main portal vein with turbulent flow. Endoscopy revealed oesophageal varices. A liver biopsy showed no abnormalities in liver histology. This is the first case of ascites as a...

Between 1978 and 2007 one hundred and seven patients consecutively underwent resection for primary pancreatic adenocarcinoma. There were 28 pN0 patients, 41 pN1 and 37 pN2 or more (one unknown). Combined resection of the portal vein was performed in 62 out of 107 patients (58%). The hepatic artery in 10 patients, superior mesenteric artery in 8 patients and celiac trunk in 7 patients were also ...

Background and Study Aims: Portal vein thrombosis (PVT) associated with untreated HCC are almost always malignant, still benign portal vein thrombus should be considered as well, This study was designed to study the value of ultrasound-guided fine needle aspiration cytology in the differential diagnosis of portal vein thrombosis. Patients and Methods: This study included 20 patients with chroni...

The portal vein system was clearly visualized in superior mesenteric arterial portography using prostaglandin E1. Angiographic examination was performed in 68 patients with various liver diseases during the 2 year period from 1980 to 1981. Twenty microgram of prostaglandin E1 was injected into the superior mesenteric artery 30 seconds before injection of 60 ml of contrast medium. The main porta...

Massive haemobilia due to rupture of a portal cavernoma is very rare. In our patient the cause for portal vein thrombosis remains obscure in the absence of umbilical sepsis, severe dehydration or a hypercoaguable state. Cavernous transformation has been documented even within a few days of the portal vein getting obstructed; and inflammation resulting from enteritis is a recognised cause of por...

UNLABELLED 62 year old Caucasian female with pancreatic head mass abutting the superior mesenteric vein (SMV) presented with fine needle aspiration biopsy confirmed diagnosis of ductal adenocarcinoma. CT scan showed near complete obstruction of portal vein and large SMV collateral development. After 3 months of neoadjuvant therapy, her portal vein flow improved significantly, SMV collateral cir...