Sonographic evaluation of portal hypertension in children.

Abstract:

:Portal hypertension, an expected consequence of cirrhosis, often has an insidious course in children. A noninvasive technique using abdominal sonography has been previously employed by several investigators as a means of diagnosing this condition. Their technique involves sonographically measuring the diameter of the lesser omentum, which increases as a result of engorged collaterals. In this communication, the method is successfully employed in two children, an infant in whom cirrhosis developed who eventually died from acquired immunodeficiency syndrome, and one whose portal hypertension was relieved after orthotopic liver transplantation. Although successful in these two instances, the theoretical basis on which this technique is based is critically evaluated. Anatomical relationships are reviewed that would caution sonographers who attempt to duplicate these studies. Modifications of the technique that will minimize potential false positive results are also discussed.

authors

Rabinowitz SS,Norton KI,Benkov KJ,Yeh HC,Leleiko NS

doi

10.1097/00005176-199004000-00021

subject

Has Abstract

pub_date

1990-04-01 00:00:00

pages

395-401

issue

3

eissn

0277-2116

issn

1536-4801

journal_volume

10

pub_type

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