It is most frequent in lymphoproliferative disorders but extremely rare in trauma. Neovascularity was seen on CT scans in 43% (20/47) of patients with malignant PVT and in no patient with benign PVT. 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. A. Parenchymal density of liver is heterogenous with serrated margin and collateral veins are noted in the gastrohepatic ligament, representing liver cirrhosis with portal hypertension. The combination of the clinical setting with the findings on the non-enhanced CT may favour the diagnosis of vein of Labbé thrombosis. Interested in research on Portal Vein Thrombosis? Background: Few cases have been reported with respect to portal vein thrombosis in non-cirrhotic patients. A two-dimensional echocardiogram demonstrated a large mass in the right atrium originated from the inferior vena cava, Portal vein thrombosis is a potentially life-threatening condition with occasionally uncertain clinical symptoms and signs. In this study, we compare 62 primary OLTs performed in patients with PVT at the time of OLT with a group of 329 primary OLTs performed in patients without PVT (group 3) and analyze the incidence of PVT, use of diagnostic methods, surgical management, and outcome. Another typical venous infarction is due to thrombosis of the vein of Labbe. A rare case of aseptic thrombosis of the left vein of Labbé in a young woman is reported. Data extracted from the medical records were analyzed for underlying risk factors, pattern of presentation, diagnostic tools, and results of treatment.Results: The underlying causes of PVT were cirrhosis (46.6%) and noncirrhotic causes (43.7%), and no obvious cause was recorded in 9.7% of cases. Signs and symptoms of PVT may be subtle or nonspecific and overshadowed by the underlying illness. Mild left-sided neurological deficits resolved almost completely. Anticoagulation was started for all patients after established diagnosis except in patients with gastrointestinal bleeding. The mean diameters of malignant and benign portal vein thrombi were significantly different (23.4 mm versus 16 mm; p = .0001). Her … Cavernous transformation of the portal vein. Shivaprasad S, Shroff G, Kumar V (2012) Vein of Labbe thrombosis by CT and MRI. Visceral vein thrombosis is associated with increased mortality risk. We report a rare case of isolated thrombosis of the vein of Labbe after subarachnoid hemorrhage (SAH) of unknown origin on the contralateral side. thrombosis of the left vein of Labbé associated with an ipsilateral dural sinus thrombosis, suspected on non-enhanced CT and confirmed on CT venography (CTV). The diagnosis can be confirmed on computed tomography venography. Doppler ultrasonography confirmed a portal vein thrombosis. 1,2 Thrombosis can cause temporal lobe … The developmental outcomes of infants who had vein of Labbé thrombosis are unknown as few studies of outcomes exist. Nearly 10% of the population had PVT (n = 19); 63.2% of PVT patients (5.9% of total cohort) underwent liver transplantation (n = 12). These findings and the location in the temporal lobe, should make you think of venous infarction due to thrombosis of the vein of Labbe. Leach JL, Jones BV, Tomsick TA, Stewart CA, Balko MG. AJNR Am J Neuroradiol. In the third case, an isolated superior mesenteric vein aneurysm was found. The main exposure variable was the presence of occlusive PVT. PVT patients tended to be younger than non-PVT patients at evaluation (1.94 +/- 3.51 vs. 3.79 +/- 4.11, p = 0.059). We describe a case of pylephlebitis which had appendicitis and consequent septic thrombosis of the portal vein and its branches, with dissemination of infection to the liver. La tomografía axial computarizada (TAC) y la RM pueden ayudar a determinar la extensión de la trombosis, ... La tomografía axial computarizada (TAC) y la RM pueden ayudar a determinar la extensión de la trombosis (21,22). 1Department of Neurology, UTMB, Galveston, Texas, USA. A. CT shows that the liver margin is serrated with heterogenous parenchymal density. She was admitted to our hospital because of symptoms of overt heart failure. In one case, an isolated portal vein aneurysm was demonstrated. Ultrasound (US) is the first imaging method used for assessing PVT. She also received two units of packed cells due to her low hemoglobin. Cranial Computed Tomography identified a wedge shape low density area in the right temporal lobe consistent with a venous infarct, which contained areas of acute haemorrhage. Follow-up imaging revealed complete resolution of thrombosis. Download Citation | Vein of Labbe Thrombosis-A missed culprit | Thrombosis of vein of Labbe is an uncommon finding and usually tends to occur along with extensive dural venous sinus thrombosis. The presence of occlusive PVT at the time of liver transplantation was associated with an increased risk of death at 30 days (odds ratio, 7.39; 95% CI, 2.39-22.83). A total of 203. patients were included in the study. Dorndorf D, Wessel K, Kessler C, Kömpf D. Neuroradiology. Keywords: Epidemiology, Venous thrombosis, Portal hypertension, Cirrhosis, Gastrointestinal cancer Rodallec MH, Krainik A, Feydy A, Hélias A, Colombani JM, Jullès MC, Marteau V, Zins M. Radiographics. CEUS is a very good method for the evaluation of benign or malignant nature of portal vein thrombosis. J Neurol Neurosurg Psychiatry 83:1168–1169. Differentiation from choledocholithiasis, hematobilia, and calcification of thrombi could be easily made by means of ultrasonography (US). The aim of this study is to analyze the incidence, risk factors, management, and follow-up of patients with portal vein thrombosis (PVT) undergoing primary orthotopic liver transplantation (OLT). En pacientes llevados a este procedimiento por anemia hemolítica, varios factores de riesgo locales y sistémicos contribuyen a su presentación. Consequently, the diagnosis may be first made by the radiologist using cross-sectional imaging modalities. Although the precise assessment of speech was not carried out, the aphasia was not obvious and he was discharged 3 weeks after admission. Proper caution should be used when initiating AC therapy in cirrhotic patients given their underlying coagulopathic status with attention now being paid to NOACs and LMWH. Variables independently predictive of mortality, We present a 74-year-old woman who developed a portal vein thrombosis following an elective total knee replacement. Advances in imaging techniques have facilitated the early diagnosis of SVT and it has resulted in decrease mortality rates in patients with SVT, ... Colour Doppler imaging can show the absence of flow in part or all of the vasal lumen, with sensitivity and specificity ranging from 66% to 100% [17,18] . 1997 Dec;169(6):1699-707. doi: 10.2214/ajr.169.6.9393193. METHODS: Between 1970 and 1982, 23 796 autopsies, representing 84% of all in-hospital deaths in the Malmö city population, were performed, using a standardised protocol including examination of the portal vein. The diagnosis can be confirmed on computed tomography venography. A rare case of aseptic thrombosis of the left vein of Labbé in a young woman is reported. The calculated incidence of portal vein thrombosis was 0.573% of all cirrhotic patients without splenectomy in the past. Purpose: Evaluate the prevalence of Labbé vein thrombosis (LVT) and its liability for the lesions observed in the case of associated ipsilateral transverse sinus thrombosis (TST). Publication types. The patient was managed with ciprofloxacin, enoxaparin and warfarin. Effort should be made to scrutinize cerebral venous structures for filling defects at CT angiography, because approximately 1% of acute cerebral infarcts are venous. The findings of PVT of the dynamic CT are filling defect partially or totally occluding the vessel lumen and rim enhancement of the vessel wall. Methods: MRI findings of 58 consecutive patients (≥ 18 years) with acute LVT and TST (group 1) were compared with those of 149 patients with acute TST-no LVT (group 2) observed during the same period. A case of extensive portal venous system thrombosis extending into the superior mesenteric vein associated with an unusual pattern of central hepatic enhancement imaged, Attenuation characteristics of portal vein thrombi on nonenhanced computed tomographic (CT) scans were assessed in 122 patients with proved portal vein thrombosis. 83, no. The diagnosis can be confirmed on computed tomography venography. The central deep venous system is formed by the union of several deep veins behind the foramen of Monro, which unite to form the internal cerebral veins. Isolated thrombosis of the vein of Labbe has been rarely reported. The case presented is a result of early decompression in a TBI patient. ABSTRACT Isolated thrombosis of the vein of Labbe has been rarely reported. These critical structures drain the deep white matter and basal ganglia centripetally. The 23 patients (50%) who had indications for surgery received preoperative transcatheter arterial chemoembolization: 18 underwent hepatic resection and 5 underwent ligation of the hepatic artery or portal vein on laparotomy. Images were assessed for location, extent, enhancement, neovascularity, and maximal diameter of PVT. Frecuentemente se desconoce esta alteración. Only scattered reports of portal vein and superior mesenteric vein aneurysms appear in the literature. © 2008-2021 ResearchGate GmbH. Themostfrequentpresentingsymptomwasabdominalpain. Background and Aim of the Work: Portal vein thrombosis (PVT) is a serious condition; however, the outcome may be improved by early recognition and prompt management. By the radiologist using cross-sectional imaging modalities shows that the liver margin is serrated with parenchymal! Aseptic thrombosis of the vein of Labbe has been rarely reported made by the radiologist cross-sectional... Jones BV, Tomsick TA, Stewart CA, Balko MG. 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