PURPOSE The purpose of this study was to assess portal hemodynamics in patients with portal hypertension due to hepatosplenic schistosomiasis as well as to assess the contribution of splanchnic hyperflow to the pathophysiology of the portal hypertension. METHODS Sixteen patients with schistosomal portal hypertension and previous history of upper digestive bleeding due to esophageal varices ru...

despite the fact that hepatic involvement is frequently seen in systemic primary amyloidosis, major hepatic symptoms as primary manifestation and severe impaired liver function are rare. herein, we report a 38-year-old woman with primary hepatic amyloidosis, and severe  portal hypertension . the patient had ascites and markedly elevated alkaline phosphatase level at presentation. she had a rapi...

Introduction: Venous aneurysms and pseudoaneurysms are rare entities; portal system aneurysms are shown as focal dilatations of the portal venous system. Superior mesenteric vein aneurysms are extremely rare. Case Report: We describe a case of superior mesenteric vein aneurysm in an asymptomatic 73­year­old female. Although one cause of portal system aneurysm is portal hypertension, in this rar...

Background Understanding and addressing the needs of frail patients has been identified as an important strategy by the Nova Scotia Health Authority (NSHA). Primary care (PC) providers are in a key position to aid in the identification of, and response to frailty as part of routine care. Unlike singular chronic conditions such as diabetes and hypertension which garner a disease-based appr...

BACKGROUND AND OBJECTIVE Symmers periportal fibrosis secondary to schistosomiasis is a common cause of portal hypertension worldwide. Data on the prevalence of gastric varices and portal hypertensive gastropathy in this group of patients with portal hypertension is relatively scarce. The aim of this study was to determine the prevalence of gastric varices and portal hypertensive gastropathy in ...

1. Hyposensitivity to vasopressin is a well-documented phenomenon in animals with portal hypertension and patients with cirrhosis subjected to haemorrhage. Excessive formation of nitric oxide is at least partly responsible for the vascular hyporesponsiveness to vasoconstrictors observed in experimental portal hypertension or in rats with haemorrhagic shock. This study investigated whether addit...

Portal systemic shunting (PSS) and portal pressure were measured in control rats and in animals with portal hypertension induced by partial portal vein ligation (PPVL). The portal pressure in rats with partial portal vein ligation (13.4 +/- 0.5 mm.Hg.) was significantly higher (p < 0.005) than in the control group (9.6 +/- 0.6 mm.Hg.). Portal systemic shunting measured by consecutive injections...

In this educational presentation, we offer an overview of acquired anomalies of the portal venous system explored by biphasic helical CT and MRI. Portosystemic collateral vessels, cavernous transformation of the portal vein, intrahepatic vascular shunts, aneurysms of the portal venous system, thrombosis of the portal venous system, and gas in the portal venous system will be discussed. For live...

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...

We examined 27 resin casts of foetal liver veins and found three types of connection between portal vein and portal sinus. The most frequent connection was endo-lateral (66.7%), when the end of the portal vein joins with the lateral wall of the portal sinus. The next type was latero-lateral (14.8%). In this type, the lateral walls of the portal sinus and the portal vein join together. The last ...