Pediatric Portal Hypertension

  • Etiology:
  • Imaging US: Reversal of flow in portal vein with recanilization of umbilical vein
  • DDX:
  • Complications:
  • Treatment:
    — Mesocaval shunt is used to help relieve portal hypertension
    — TIPS procedure is used to treat portal hypertension as a bridge to liver transplant,
  • Clinical:

Radiology Cases of Portal Hypertension

CT of pediatric portal hypertension and splenomegaly
Axial (above) and coronal (below) CT with contrast of the abdomen show a very enlarged spleen along with gastric varices and tortuous venous structures extending from the splenic hilum to the splenomesenteric junction.
Upper GI of esophageal varices in portal hypertension
AP (left) and lateral (right) images of the esophagus from an upper GI exam show multiple longitudinal luminal filling defects in the distal esophagus representing esophageal varices.