ULTRASOUND AND DYNAMIC CONTRAST CT IN THE DIAGNOSIS AND DETERMINATION OF THE CLINICO-IMAGING OUTCOME IN ACUTE PORTAL VEIN THROMBOSIS
- Department of Radiodiagnosis and Imaging, SKIMS Srinagar, Jammu and Kashmir, India.
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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.
[Minsha Hameed, Gowhar Nazir, Irfan Robbani, Inzamam Wani and Shadab Maqsood (2023); ULTRASOUND AND DYNAMIC CONTRAST CT IN THE DIAGNOSIS AND DETERMINATION OF THE CLINICO-IMAGING OUTCOME IN ACUTE PORTAL VEIN THROMBOSIS Int. J. of Adv. Res. 11 (Mar). 872-879] (ISSN 2320-5407). www.journalijar.com
