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Open Access 01-12-2019 | Portal Hypertension | Pictorial Review

All about portal vein: a pictorial display to anatomy, variants and physiopathology

Authors: Carolina Carneiro, Jorge Brito, Carlos Bilreiro, Marta Barros, Carla Bahia, Inês Santiago, Filipe Caseiro-Alves

Published in: Insights into Imaging | Issue 1/2019

Abstract

The portal vein (PV) is the main vessel of the portal venous system (PVS), which drains the blood from the gastrointestinal tract, gallbladder, pancreas, and spleen to the liver. There are several variants affecting the PV, and quite a number of congenital and acquired pathologies.

In this pictorial review, we assess the embryological development and normal anatomy of the PVS, displaying selected cases consisting of normal variants, congenital anomalies, and a large and heterogeneous group of acquired conditions that may affect the PV.

Corness JA, McHugh K, Roebuck DJ, Taylor AM (2006) The portal vein in children: radiological review of congenital anomalies and acquired abnormalities. Pediatr Radiol 36:87–96CrossRef

Lee WK, Chang SD, Duddalwar VA et al (2011) Imaging assessment of congenital and acquired abnormalities of the portal venous system. Radiographics 31:905–926

Tirumani SH, Shanbhogue AKP, Vikram R, Prasad SR, Menias CO (2014) Imaging of the porta hepatis: spectrum of disease. Radiographics 34:73–92CrossRef

Mihai F, Bar C, Savin ML, Cucuteanu B, Negru D (2011) CT appearance of collateral pathways in portal hypertension. https://doi.org/10.1594/ecr2011/C-0972

Covey AM, Brody LA, Getrajdman GI, Sofocleous CT, Brown KT (2004) Incidence, patterns, and clinical relevance of variant portal vein anatomy. AJR Am J Roentgenol 183:1055–1064

Connelly TM, Sakala M, Tappouni R (2015) Circumportal pancreas: a review of the literature and image findings. Surg Radiol Anat. https://doi.org/10.1007/s00276-015-1436-5

Tappouni R, Perumpillichira J, Sekala M, Hosseinzadeh K, Clark C, Leyendecker J (2015) Circumportal pancreas: imaging findings in 40 patients. Abdom Imaging. https://doi.org/10.1007/s00261-014-0242-6

Arora A, Velayutham P, Rajesh S, Patidar Y, Mukund A, Bharathy KG (2014) Circumportal pancreas: a clinicoradiological and embryological review. Surg Radiol Anat. https://doi.org/10.1007/s00276-013-1189-y

Park JH, Cha SH, Han JK, Han MC (1990) Intrahepatic portosystemic venous shunt. AJR Am J Roentgenol 155(3):527–528CrossRef

10.

Lautz TB, Tantemsapya N, Rowell E, Superina RA (2011) Management and classification of type II congenital portosystemic shunts. J Pediatr Surg 46:308–314CrossRef

11.

Howard ER, Davenport M (1997) Congenital extrahepatic portocaval shunts—the Abernethy malformation. J Pediatr Surg 32(3):494–497CrossRef

12.

Nacif LS, Paranaguá-Vezozzo DC, Galvão FH et al (2015) Significance of CT scan and color Doppler duplex ultrasound in the assessment of Abernethy malformation. BMC Med Imaging 15:37. https://doi.org/10.1186/s12880-015-0079-7

13.

Andrejecsk JW, Hosman AE, Botella LM et al (2017) Executive summary of the 12^th HHT international scientific conference. Springer Nature. https://doi.org/10.1007/s10456-017-9585-2

14.

Prokop M, Galanski M, Schaefer-Prokop C, van der Molen AJ (2003) Spiral and multislice computed tomography of the body. Thieme, New York

15.

Gallego C, Velasco M, Marcuello P, Tejedor D, Campo L, Friera A (2002) Congenital and acquired anomalies of the portal venous system. Radiographics 22:141–159CrossRef

16.

Garcia-Tsao G, Abraldes JG, Berzigotti A, Bosch J (2017) Portal hypertensive bleeding in cirrhosis: risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the Study of Liver Diseases. Hepatology 65(1):310–335. https://doi.org/10.1002/hep.28906 CrossRefPubMed

17.

Glatard AS, Hillarie S, Assignies G et al (2012) Obliterative portal Venopathy: findings at CT imaging. Radiology 263(3):741–750. https://doi.org/10.1148/radiol.12111785

18.

Aggarwal S, Fiel MI, Schiano TD (2013) Obliterative portal venopathy: a clinical and histopathological review. Dig Dis Sci 58(10):2767–2776. https://doi.org/10.1007/s10620-013-2736-4 CrossRefPubMed

19.

Mule S, Colosio A, Cazejust J, Soyer P, Kianmanesh R, Hoeffel C (2015) Imaging of the post-operative liver: review of normal appearances and common complications. https://doi.org/10.1594/ecr2015/C-0314

Title: All about portal vein: a pictorial display to anatomy, variants and physiopathology
Authors: Carolina Carneiro
Jorge Brito
Carlos Bilreiro
Marta Barros
Carla Bahia
Inês Santiago
Filipe Caseiro-Alves
Publication date: 01-12-2019
Publisher: Springer Berlin Heidelberg
Keywords: Portal Hypertension
Portal Hypertension
Published in: Insights into Imaging / Issue 1/2019
Electronic ISSN: 1869-4101
DOI: https://doi.org/10.1186/s13244-019-0716-8

At a glance: The STEP trials

Springer Medicine

All about portal vein: a pictorial display to anatomy, variants and physiopathology

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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