Abstract
Objective: to characterize idiopathic portal hypertension clinically and by ultrasound (US). Patients and methods: 60 patients with clinical diagnosis of chronic liver disease and portal hypertension were retrospectively assessed by color Doppler US, from January 1996 to January 2006, in a privately owned clinic. Two cases of idiopathic portal hypertension were found. Comments: in young patients with splenomegaly, recurring hematemesis, anemia, ascites, normal liver function and portal hypertension without evidence of cirrhosis, US revealed livers of usual size, heterogeneous texture and flat surface, without deformities in the branches of the intra-hepatic portal veins. The portal vein walls were also thickened starting at 3 mm and marked by an abrupt narrowing of the secondary intra-hepatic portal veins, accompanied by splenomegaly.
Highlights
Idiopathic portal hypertension (IPH), known as Banti’s syndrome, was first described by Banti in 18891 and researched in India by Ramalingaswami et al2. in 1962
IPH is more frequent in women, in the ratio of 2: 1 to 4: 1,10-12 and the average age of occurrence ranges from 25 to 35 years.[9]
This work aims to present some clinical characteristics of IPH under ultrasound
Summary
Idiopathic portal hypertension (IPH), known as Banti’s syndrome, was first described by Banti in 18891 and researched in India by Ramalingaswami et al2. in 1962. Idiopathic portal hypertension (IPH), known as Banti’s syndrome, was first described by Banti in 18891 and researched in India by Ramalingaswami et al. Many synonyms are used to identify it, such as: hepatoportal sclerosis,[3] noncirrhotic portal fibrosis,[4] obliterative portal venopathy of the liver,[5] non-cirrhotic intrahepatic portal hypertension,[6] benign intrahepatic portal hypertension,[7] and idiopathic portal presinusoidal hypertension.[8]. Institution: Diagnostic Image Center Dr Matsushita Ltda Rua dos Caetés 530/216, Centro Belo Horizonte, MG – Brasil. IPH is more frequent in women, in the ratio of 2: 1 to 4: 1,10-12 and the average age of occurrence ranges from 25 to 35 years.[9]. This work aims to present some clinical characteristics of IPH under ultrasound. The exams were documented using the SISMED image capturing system
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