Portal hypertension | Gamuts.net

Portal hypertension

Portal hypertension is hypertension (high blood pressure) in the hepatic portal system – made up of the portal vein and its branches, that drain from most of the intestine to the liver. Portal hypertension is defined as a hepatic venous pressure gradient. [Source: Wikipedia ]

Synonyms

Portal venous hypertension

May Cause

Diffuse gallbladder wall thickening

Dilated azygos vein

Esophageal varices

Localized pulmonary vessel enlargement

Small bowel edema

Splenomegaly with diffuse hypoechoic pattern

Splenomegaly with normal echogenicity

T2-hyperintense periportal tissue

Thromboembolism of portal vein

May Be Caused by

Common: Cirrhosis; Constrictive pericarditis; Heart failure; Hepatitis; Liver atrophy; Pancreatic disease with portal obstruction; Portal vein thrombosis; Splenic vein thrombosis
Uncommon: Alagille syndrome; Alpha1-antitrypsin deficiency; Baller-Gerold syndrome; Banti syndrome; Budd-Chiari syndrome; Caroli disease; Cholesterol ester storage disease; CREST syndrome; Cruveilhier-Baumgarten syndrome; Cystic fibrosis; Fatty liver; Gaucher disease; Glycogen storage disease type 3; Glycogen storage disease type 4; Hemochromatosis; Hepatic fibrosis-renal cystic disease; Hepatorenal syndrome; Increased portal vein flow; Multiple transfusion effect; Nodular regenerative hyperplasia; Non-cirrhotic portal hypertension; Osler-Weber-Rendu syndrome; Polycythemia vera; Portal hypertensive gastropathy; Portopulmonary hypertension; Retroperitoneal inflammatory disease; Schistosomiasis; Tropical splenomegaly syndrome; Wilson disease