EVALUATION OF THE METHODS OF IMAGING IN THE DIAGNOSIS OF LIVER CIRRHOSIS AND PORTAL HYPERTENSION

Objective: to evaluate the prospects and role of the methods of imaging (ultrasound and CT) in the diagnosis of the pathogenic aspects of the development and correction of portal hypertension in liver cirrhosis. Material and methods. Patients with liver cirrhosis and portal hypertension, Doppler ultrasound, multislice computed tomography. Conclusion. The combined use of ultrasound and computed tomography facilitates tracing of the dynamics of the disclosure of portocaval anastomoses and predict the course of liver cirrhosis and portal hypertension. The application of the integrated ultrasound to determine the rate of blood flow volume in vessels of portal system and portocaval anastomosis will enable development of differential diagnostic criteria for the early diagnosis of portal hypertension. The detection of recanalized umbilical vein by means of 3D-visualization of its anatomy makes it possible to use it for delivering of therapeutic agents to the liver in its pathology.

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An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

Perspectives in Surgery ◽

10.33699/pis.2019.98.8.326-327 ◽

2019 ◽

Vol 98 (8) ◽

pp. 326-327 ◽

Cited By ~ 1

Keyword(s):

Liver Cirrhosis ◽

Abdominal Pain ◽

Case Report ◽

Portal Hypertension ◽

Liver Disease ◽

Epigastric Pain ◽

Umbilical Vein ◽

History Of ◽

Clinically Significant ◽

Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

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The Additive Diagnostic Role of Coronary Flow Reserve in Noninvasive Evaluation of Coronary Stenosis on Left Descending Artery Previously Detected by Multislice Computed Tomography

Echocardiography ◽

10.1111/echo.12041 ◽

2012 ◽

Vol 30 (3) ◽

pp. 338-344 ◽

Cited By ~ 2

Author(s):

Zorica Mladenovic ◽

Ana Djordjevic-Dikic ◽

Dragan Tavciovski ◽

Andjelka Ristic Angelkov ◽

Zoran Jovic ◽

...

Keyword(s):

Computed Tomography ◽

Coronary Flow Reserve ◽

Coronary Stenosis ◽

Coronary Flow ◽

Multislice Computed Tomography ◽

Noninvasive Evaluation ◽

Flow Reserve ◽

Diagnostic Role

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ROLE OF MULTISLICE COMPUTED TOMOGRAPHY TO ASSESS EDWARDS SAPIEN PROSTHESIS DEPLOYMENT AND POSITIONING

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(11)61687-2 ◽

2011 ◽

Vol 57 (14) ◽

pp. E1687

Author(s):

Helene Eltchaninoff ◽

Jerome Caudron ◽

Jeannette Fares ◽

Camille Hauville ◽

Matthieu Godin ◽

...

Keyword(s):

Computed Tomography ◽

Multislice Computed Tomography ◽

Edwards Sapien

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Evaluation of diaphragm in penetrating left thoracoabdominal stab injuries: The role of multislice computed tomography

Injury ◽

10.1016/j.injury.2015.06.022 ◽

2015 ◽

Vol 46 (9) ◽

pp. 1734-1737 ◽

Cited By ~ 7

Author(s):

Metin Yucel ◽

Gurhan Bas ◽

Fatma Kulalı ◽

Ethem Unal ◽

Adnan Ozpek ◽

...

Keyword(s):

Computed Tomography ◽

Multislice Computed Tomography ◽

Stab Injuries

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Midterm results of percutaneous closure of very large atrial septal defects in children: role of multislice computed tomography

EuroIntervention ◽

10.4244/eijv7i12a223 ◽

2012 ◽

Vol 7 (12) ◽

pp. 1428-1434 ◽

Cited By ~ 9

Author(s):

Davide Marini ◽

Phalla Ou ◽

Younes Boudjemline ◽

Damien Kenny ◽

Damien Bonnet ◽

...

Keyword(s):

Computed Tomography ◽

Multislice Computed Tomography ◽

Percutaneous Closure ◽

Midterm Results ◽

Septal Defects ◽

Atrial Septal Defects

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Combined endoscopic intervention (ligation+sclerotherapy) compared with TIPS for prevention of bleeding from gastro-esophageal varices in patients with liver cirrhosis

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20164534 ◽

2016 ◽

Vol 5 (1) ◽

pp. 124

Author(s):

Utkirbek Matkuliev

Keyword(s):

Liver Cirrhosis ◽

Portal Hypertension ◽

Varicose Veins ◽

Portal System ◽

Endoscopic Intervention ◽

Portosystemic Shunts ◽

System Pressure ◽

Intrahepatic Portosystemic Shunt ◽

History Of ◽

The Mean

Background: Liver cirrhosis (LC) and portal hypertension (PH) is one of the most serious problems of modern surgical hepatology. The most common complication of liver cirrhosis is bleeding from varicose veins of esophagus and stomach. Today experts have several ways to prevent rebleeding from varices: pharmacotherapy, endoscopic intervention, transjugular intrahepatic portosystemic shunt (TIPS), a surgical portocaval bypass. Purpose of this study was to compare effectiveness of transjugular intrahepatic portosystemic shunts (TIPS) and combined endoscopic therapy the management of bleeding in cirrhotic patients.Methods: We observed 96 consecutive patients with portal hypertension who were treated in 2nd clinic of Tashkent Medical Academy (2014-2015). Bleeding was in history of 17 (17.7%) patients. The duration of the bleeding averaged 9.7±4.3 hours. Ascites was observed in 54.5 % of patients. Patients were divided two major groups. First group included 72 patients who was performed endoscopic intervention. Second group consisted of 24 patients who underwent TIPS in emergency cases.Results: Seventy-two patients were assigned to variceal ligation and Sclerotherapy, other 24 patients to TIPS. In the ligation combined Sclerotherapy group, a second treatment was performed 8–10 days after the initial endoscopy. Deterioration of portal gastropathy was observed in 9 (9.4%) cases after EL and 24 (25.0%) after ES (p <0.05). The mean portal system pressure prior to TIPS placement was 53.67±4.21 mm Hg, which decreased to 25.10±4.06 mmHg after the first shunt tract was established (P <0.001). The mean portal system pressure prior to the second TIPS was 43.68±3.98 mm Hg and decreased to 25.14±4.67 mm Hg after the procedures (P <0.001).Conclusions: TIPS can become dysfunctional if stenosis develops in the shunt or the hepatic vein above the shunt. Screening allows detection of stenosis before portal hypertensive–related complications recur. Revision of stenotic shunts can be easily accomplished in most cases. Techniques for screening and revision will be discussed. This is one of the most effective methods to control patients with liver cirrhosis.

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