ULTRASOUND AND DYNAMIC CONTRAST CT IN THE DIAGNOSIS AND DETERMINATION OF THE CLINICO-IMAGING OUTCOME IN ACUTE PORTAL VEIN THROMBOSIS
Background:Acuteportalveinthrombosis(APVT)hasdevastatingconsequences,ifnotidentifiedearly.However,thenon-specificpresentation rendersclinicaldiagnosisdifficult.Theroleof imaginginthisdiseaseis,therefore,crucial.ThisstudyaimstoevaluatetheroleofcolorDoppler anddynamiccontrastCTintheearlydiagnosisofAPV...
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Published in | International journal of advanced research (Indore) Vol. 11; no. 3; pp. 872 - 879 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
31.03.2023
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Online Access | Get full text |
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Summary: | Background:Acuteportalveinthrombosis(APVT)hasdevastatingconsequences,ifnotidentifiedearly.However,thenon-specificpresentation rendersclinicaldiagnosisdifficult.Theroleof imaginginthisdiseaseis,therefore,crucial.ThisstudyaimstoevaluatetheroleofcolorDoppler anddynamiccontrastCTintheearlydiagnosisofAPVTandtodeterminetheclinico-imagingoutcomeofthesepatients. Methods:FortypatientsdiagnosedwithAPVTfrom2019-2022atthe DepartmentofRadio-diagnosisandImagingwereputonappropriatetherapybythetreating physiciansandwerefollowedupforradiologicaloutcome. Results:APVTwasdetectedoncolor Dopplerin92.5%of thepatientsintheformofechogeniccontentswithinPortalVein(PV)and complete/partialabsenceofcolorflow.Intermsofpatients,42.5%hadadilatedPV.Thirteen(32.5%)patientsshowedsuccessfulre-canalizationofthethrombosedportion,whiletwenty-one(52.5%)patientsadvancedtocavernomatoustransformationofthePV.Priortotheinitialfollow-up,six(15%)patientspassedaway. Conclusion:DuplexDopplerisaneffectivescreeningmethodfor APVT.CECTshouldbeutilizedforconfirmation,though.Thepatientswhoreceiveearly anticoagulationhave amarginallysuperiorAPVToutcome. |
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ISSN: | 2320-5407 2320-5407 |
DOI: | 10.21474/IJAR01/16504 |