Intrahepatic Spontaneous Retrograde Portal Flow in Patients with Cirrhosis of the Liver
Reversal by Food Intake
Hitoshi Tochio1,
Masatoshi Kudo2,
Shin-ichi Nishiuma3 and
Yoshihiro Okabe3
1
Division of Clinical Pathology, Kobe City General Hospital, 4-6,
Minatojima-Nakamachi, Chuo-ku Kobe, 650-0046, Japan.
2
Department of Gastroenterology and Hepatology, Kinki University School of
Medicine, 377-2, Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
3
Department of Gastroenterology, Kobe City General Hospital, Chuo-ku Kobe,
650-0046, Japan.
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Fig. 1A. —42-year-old man with alcoholic cirrhosis of liver. Color
Doppler sonogram obtained before food intake reveals blue color
(arrow) in portal branch (Couinaud
[9] segment VI), suggesting
spontaneous flow reversal. Pulsed Doppler analysis confirms that portal flow
has been reversed in relation to hepatopetal arterial pulsatile flow (hepatic
arterial flow) (open arrows).
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Fig. 1B. —42-year-old man with alcoholic cirrhosis of liver. Color
Doppler sonogram obtained after food intake shows portal branch in segment VI
in red (arrow), suggesting normalization of flow direction. Pulsed
Doppler analysis confirms that portal flow direction changed markedly after
food intake; flow has reversed to hepatopetal from hepatofugal direction
(open arrows).
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Fig. 2A. —68-year-old woman with hepatitis C cirrhosis of liver.
Ascites is evident. Color Doppler sonogram obtained before food intake reveals
blue color (arrow) in portal branch (Couinaud
[9] segment V), suggesting
spontaneous flow reversal.
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Fig. 2B. —68-year-old woman with hepatitis C cirrhosis of liver.
Ascites is evident. Pulsed Doppler analysis confirms that portal flow has been
reversed in relation to hepatopetal arterial pulsatile flow (hepatic arterial
flow) (arrowheads).
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Fig. 2C. —68-year-old woman with hepatitis C cirrhosis of liver.
Ascites is evident. Color Doppler sonogram obtained after food intake shows
portal branch in segment V in red (arrow), suggesting normalization
of flow direction.
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Fig. 2D. —68-year-old woman with hepatitis C cirrhosis of liver.
Ascites is evident. Pulsed Doppler analysis confirms that portal flow
direction changed markedly after food intake; flow has been directed to
hepatopetal from hepatofgal direction (arrowheads).
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Fig. 3A. —37-year-old woman with alcoholic cirrhosis of liver. Color
Doppler sonogram obtained before food intake reveals blue color
(arrow) in portal branch (Couniaud
[9] segment IV), next to
hepatic arterial branch, suggesting spontaneous flow reversal.
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Fig. 3B. —37-year-old woman with alcoholic cirrhosis of liver. Pulsed
Doppler analysis confirms that portal flow has been reversed
(arrowheads) in relation to hepatopetal arterial pulsatile flow
(hepatic arterial flow).
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Fig. 3C. —37-year-old woman with alcoholic cirrhosis of liver. Color
Doppler sonogram obtained after food intake shows portal branch in segment IV
in red (arrow), suggesting normalization of flow direction.
|
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Fig. 3D. —37-year-old woman with alcoholic cirrhosis of liver. Pulsed
Doppler analysis confirms that portal flow direction changed markedly after
food intake; flow has been directed to hepatopetal from hepatofugal direction
(arrowheads). Arterial flow is blue because of low pulse repetition
frequency, causing aliasing phenomenon.
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Copyright © 2001 by the American Roentgen Ray Society.
