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American Journal of Roentgenology, Vol 137, Issue 6, 1173-1177
Copyright © 1981 by American Roentgen Ray Society

Articles

Collateral veins in portal hypertension: demonstration by sonography

AK Dokmeci, K Kimura, S Matsutani, M Ohto, T Ono, Y Tsuchiya, H Saisho, and K Okuda

The diagnostic value of real-time sonography for portal hypertension was assessed in 38 patients with collateral veins using a linear array scanner in comparison with percutaneous transhepatic portography. The frequency of detection of collaterals by sonography relative to that by percutaneous transhepatic portography was 85% for the coronary, 100% for the paraumbilical, and 10% for the short gastric veins. Sonography demonstrated the paraumbilical vein in three patients in whom portography failed to opacify it. Real-time sonography is perhaps the first-choice procedure for the demonstration of collateral veins and diagnosis of portal hypertension.
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Copyright © 1981 by the American Roentgen Ray Society.