CT of portal venous occlusion

AJR Am J Roentgenol. 1992 Oct;159(4):717-26. doi: 10.2214/ajr.159.4.1326882.


Thrombosis of a portion of the portal venous system can be directly imaged by contrast-enhanced CT as a low-attenuation lesion within the involved portal venous segment with or without expansion of the vessel or enhancement at the margin of the thrombus. Collateral venous pathways are often evident, which provide supporting evidence of the occlusion. Alterations in portal venous blood flow lead to metabolic disturbances in the liver and to abnormalities in parenchymal enhancement during dynamic CT scanning, and these changes are manifested as abnormalities in hepatic parenchymal density. The detection of portal venous thrombosis or occlusion, collateral veins, or abnormal liver enhancement should initiate a search for the diseases that cause these abnormalities.

Publication types

  • Review

MeSH terms

  • Budd-Chiari Syndrome / complications
  • Carcinoma, Hepatocellular / complications
  • Collateral Circulation
  • Constriction, Pathologic / diagnostic imaging
  • Constriction, Pathologic / etiology
  • Humans
  • Liver Circulation
  • Liver Neoplasms / complications
  • Neoplastic Cells, Circulating
  • Pancreatic Neoplasms / complications
  • Pancreatitis / complications
  • Portal Vein / diagnostic imaging*
  • Portography / methods*
  • Thrombosis / diagnostic imaging*
  • Thrombosis / etiology
  • Tomography, X-Ray Computed*