Magnetic Resonans Imaging Of Intrapancreatic Collaterals in Portal Vein Thrombosis With And Without Cirrhosis

Yıl 2013, , 59 - 63, 01.02.2013

Nuray Haliloğlu Esra Özkavukcu Ayșe Erden

https://doi.org/10.1501/Tipfak_0000000842

Öz

Aim: To evaluate the frequency of intrapancreatic collaterals in patients with cavernous transformation of the portal vein, in cirrhotic and non-cirrhotic groups. Materials and Methods: We evaluated MR angiography images of 41 patients with cavernous transformation of the portal vein. Twenty-one of these patients had cirrhosis (Group I), and 20 patients had other causes of portal vein thrombosis (PVT) (Group II). MR studies were performed between September 2006-February 2010 using 1-T MRI system. MR images were reviewed by two radiologists, for the presence of intrapancreatic collaterals and the extension of the PVT. Results: Intrapancreatic collaterals were present in 25 of 41 (61%) patients (11 patients in Group I, 14 patients in Group II). Statistically there was no significant difference between the two groups (p>0.05). Mass effect caused by the intrapancreatic collaterals was not detected in any of our patients. The PVT was extending to the superior mesenteric vein and/or splenic vein in 22 of the 25 patients (88%) with intrapancretic collaterals. Conclusion: Intrapancreatic collaterals are common in patients with cavernous transformation of the portal vein. Cirrhosis does not seem to affect the frequency of intrapancreatic collaterals. The extension of PVT plays the major role in the formation of intrapancreatic collaterals

Anahtar Kelimeler

Pancreas; Portal vein; Magnetic Resonance Angiography; Cirrhosis

Sirozu Olan ve Olmayan Hastalarda Portal Ven Trombozunda İntrapankreatik Kollaterallerin Manyetik Rezonans Görüntülemesi

Öz

Amaç: Sirotik ve sirotik olmayan gruplarda portal vende kavernöz transformasyonu olan
hastalarda intrapankreatik kollaterallerin sıklığını araștırmaktır.
Materyal ve Metod: Portal vende kavernöz transformasyonu olan 41 hastanın MR anjiyografi
görüntüleri değerlendirildi. Bu hastaların 21’inde siroz vardı (Grup I) ve 20 hastada portal ven
trombozunun (PVT) diğer nedenleri mevcuttu (Grup II). MR incelemeleri Eylül 2006- Șubat 2010
tarihleri arasında 1-T MRG cihazında yapıldı. MR görüntüleri, intrapankreatik kollaterallerin
varlığı ve PVT’nin yaygınlığı açısından iki radyolog tarafından değerlendirildi.
Bulgular: İntrapankreatik kollateraller 41 hastanın 25’inde (%61) mevcuttu (Grup I’de 11 hasta,
Grup II’de 14 hasta). İstatistiksel olarak iki grup arasında anlamlı bir fark yoktu (p>0,05).
Hastalarımızın hiçbirinde intrapankreatik kollaterallere ikincil kitle etkisi saptanmadı.
İntrapankreatik kollateralleri olan 25 hastanın 22’sinde (%88) PVT superior mezenterik vene
ve/veya splenik vene uzanıyordu.
Sonuç: Portal vende kavernöz transformasyonu olan hastalarda intrapankreatik kolateraller sık
görülür. Siroz intrapankreatik kollaterallerin sıklığını etkilememektedir. İntrapankreatik
kollaterallerin gelișiminde ana etken PVT’nin yayılımıdır.

Anahtar Kelimeler

Pankreas, Portal ven, Manyetik Rezonans Anjiyografi, Siroz

Kaynakça

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