The ABCD of portal vein thrombosis: a systematic approach

Alexandre Makoto Minoda; Raissa Brito Fernandes Cadete; Sara Reis Teixeira; Valdair Francisco Muglia; Jorge Elias Junior; Andrea Farias De Melo Leite

doi:10.1590/0100-3984.2019.0109

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The ABCD of portal vein thrombosis: a systematic approach

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The ABCD of portal vein thrombosis: a systematic approach

Alexandre Makoto Minoda, Raissa Brito Fernandes Cadete, Sara Reis Teixeira, Valdair Francisco Muglia, Jorge Elias Junior and Andrea Farias De Melo Leite

Radiologia brasileira, Vol.53(6), pp.424-429

12/01/2020

DOI: 10.1590/0100-3984.2019.0109

PMID: 33304012

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Abstract

Portal vein thrombosis refers to complete or partial obstruction of the portal venous system, in the intrahepatic or extrahepatic venous tract or even in the splenic or superior mesenteric veins. This common and potentially fatal condition can develop in various clinical contexts, especially those of liver cirrhosis, hepatocellular carcinoma, and other solid tumors. Certain characteristics, such as the time since the onset of the thrombus (acute or chronic), its biology (hematic or tumoral), the presence of collateral vessels, and the magnetic resonance imaging aspects, are important components of a thorough, careful analysis, as well as informing decisions regarding the appropriate therapeutic strategy. Here, we present a brief review of the anatomy of the portal venous system and a systematic approach to analyzing the condition, using a mnemonic (ABCD, for age, biology, collaterals, and diffusion). We discuss the various imaging methods and illustrate our discussion with images selected from the case files archived at our facility.

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Title: Subtitle: The ABCD of portal vein thrombosis: a systematic approach
Creators: Alexandre Makoto Minoda - Instituto de Medicina Integral Professor Fernando Figueira
Raissa Brito Fernandes Cadete - Instituto de Medicina Integral Professor Fernando Figueira
Sara Reis Teixeira - Universidade de Ribeirão Preto
Valdair Francisco Muglia - Universidade de Ribeirão Preto
Jorge Elias Junior - Instituto de Medicina Integral Professor Fernando Figueira
Andrea Farias De Melo Leite - Instituto de Medicina Integral Professor Fernando Figueira
Resource Type: Journal article
Publication Details: Radiologia brasileira, Vol.53(6), pp.424-429
DOI: 10.1590/0100-3984.2019.0109
PMID: 33304012
NLM abbreviation: Radiol Bras
ISSN: 0100-3984
eISSN: 1678-7099
Publisher: Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem
Number of pages: 6
Language: English
Date published: 12/01/2020
Academic Unit: Radiology
Record Identifier: 9985214100802771

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