Ultrasonography in non-cirrhotic portal hypertension: correlation with splenoportography.
Real time sonography followed by splenoportography was performed in 38 cases with non-cirrhotic portal hypertension. Eleven of these cases, in whom porto-systemic shunt surgery was done, were also evaluated by real time sonography post-operatively. The ultrasound findings correlated well in 37 cases (98%) with splenoportography. All the post-operative cases also revealed a patent portosystemic shunt on sonography. Ultrasonography, a valuable, non-invasive, initial investigation of portal hypertension, may thus be used as the only investigation to distinguish intra- from extra-hepatic obstruction and to evaluate patency of surgically created porto-systemic shunts. Invasive portography may be performed only if surgical treatment is anticipated.
Nagi
B
B
Khandelwal
N
N
Kochhar
R
R
Gupta
B B
BB
Mehta
S
S
Singh
K
K
Mehta
S K
SK
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis* / Q000601:surgery; D007223:Infant; D008297:Male; D011170:Portasystemic Shunt, Surgical; D011172:Portography; D014463:Ultrasonography