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Updated: Aug 13, 2026
09:37
Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats
Published on: August 1, 2018
Collateral biliary circulation in portal hypertension syndrome
J Morales Pérez1, E Olloqui Martín, M Alcázar Iribarren
1Ciudad Universitaria "Virgen del Rocío", Sevilla, España.
Revista Espanola De Enfermedades Digestivas
|December 22, 1999
Summary
Portal hypertension syndrome is linked to gallbladder wall thickening and varices. Doppler ultrasound is crucial for diagnosing associated portal vein thrombosis, distinguishing it from other gallbladder conditions.
Area of Science:
- Vascular Medicine
- Radiology
- Gastroenterology
Background:
- Portal hypertension syndrome can lead to complex vascular changes.
- Gallbladder wall thickening is a potential indicator of underlying vascular compromise.
Purpose of the Study:
- To investigate collateral circulation in the gallbladder wall related to portal hypertension.
- To assess the association between portal hypertension and portal vein thrombosis.
Main Methods:
- Retrospective review of ultrasound images from 9 patients with diagnosed portal hypertension.
- Evaluation of cystic vein varices and gallbladder wall characteristics.
- Utilized Doppler sonography and angiography for confirmation.
Main Results:
- Four patients showed signs suggestive of portal vein thrombosis.
- All patients exhibited diffuse hypoechoic gallbladder wall thickening; 7 had intramural tubular dilation.
- Doppler ultrasound proved more specific than standard ultrasound for diagnosing varices and thrombosis.
Conclusions:
- Confirms an association between gallbladder varices and thrombosis in portal hypertension.
- Highlights the diagnostic utility of Doppler ultrasound for gallbladder wall thickening and portal vein thrombosis.
- Emphasizes accurate diagnosis to prevent misdiagnosis and iatrogenic complications.
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