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Colour Doppler ultrasonography of a segmental branch of the portal vein is useful for early diagnosis and monitoring of the therapeutic course of veno‐occlusive disease after allogenic haematopoietic stem cell transplantation
Author(s) -
Yoshimoto Kohji,
Yakushiji Kazuaki,
Ijuin Hiroyasu,
Ono Naofumi,
Hashiguchi Michitoshi,
Imamura Rie,
Ogata Hideaki,
Okamura Takashi,
Sata Michio,
Hashimoto Hiroshi
Publication year - 2001
Publication title -
british journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.907
H-Index - 186
eISSN - 1365-2141
pISSN - 0007-1048
DOI - 10.1046/j.1365-2141.2001.03213.x
Subject(s) - medicine , hepatic veno occlusive disease , liver transplantation , ultrasonography , portal vein , transplantation , radiology , portal vein thrombosis , budd–chiari syndrome , vein , portal hypertension , surgery , hematopoietic stem cell transplantation , cirrhosis , inferior vena cava
We report two cases in which visualization of the segmental branch of the hepatic portal vein with the colour Doppler ultrasonography (US) technique was useful for the early diagnosis of veno‐occlusive disease. The change in blood flow in the segmental branch of the portal vein occurred 5 and 6 d before the clinical criteria were fulfilled in the two cases. Reverse flow in the segmental branch began partially in the liver at first, and then spread to the whole liver several days later. All the US findings in both cases disappeared after thrombolytic therapy.