Regional portal hypertension diagnosed by ultrasonography: imaging findings and diagnostic values.
OBJECTIVE
To investigate the diagnostic accuracy of ultrasonography for regional portal hypertension (RPH) and ascertain the best diagnosis method for RPH.


METHODS
Eleven cases of regional portal hypertension diagnosed by ultrasonography were retrospectively studied. Their etiological features, clinical findings, and ultrasonographic diagnosis criteria were analyzed. Other diagnostic approaches were also compared and related literature was reviewed.


RESULTS
Eleven patients were all verified by operation. The diagnostic accuracy of color Doppler ultrasonography was 100%. The etiological diagnostic accuracy was 91% (10/11).


CONCLUSIONS
Color Doppler ultrasonography should be considered as the first choice to diagnose RPH due to its safety, accuracy, and simplicity. RPH can be classified etiologically into 3 types: pancreatic RPH, splenic RPH, retroperitoneal RPH.
Department of General Surgery, Shandong Provincial Hospital, Jinan, PR China. Baomins@tom.com
Baomin
B
Shi
Xiuyan
X
Wang
Li
L
Zhang
Zhen
Z
Yang
Jian
J
Xu
Qingling
Q
Mu
Taihuang
T
Wu
D000328:Adult; D001783:Blood Flow Velocity; D003106:Colon / Q000098:blood supply / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D018615:Ultrasonography, Doppler, Color