Normal Main Portal Vein Diameter - Is the Upper Limit Of 13 Mm Low?
Normal Main Portal Vein Diameter - Is the Upper Limit Of 13 Mm Low?
Objective: We aimed to compare the normal main portal vein diameter measured in computed tomography with the commonly used upper limit value. Materials and Method: Computed tomography examinations performed between March 2015 and April 2018 in our department were scanned from the archive system. Mean portal vein diameters were measured onaxial contrast-enhanced and non-enhanced abdominal CT scans of the patients without any known disease. Results: 500 main portal vein measurements were performed from 276 individuals. In the non-enhanced images (n = 243), the mean diameter of main portal vein was 15.03 ± 1.72 mm and in the post-contrast enhanced images (n = 257) the mean diameter of the main portal vein was 15,05 ± 1.71 mm. These values showed a significant difference from the widely accepted upper limit of 13 mm (95% confidence interval for non-enhanced images: 1.81-2.25 mm higher, p
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- Sarwar S, Khan AA, Alam A, Butt AK, Shafqat F, Malik K, et al. Non-endoscopic prediction of presence of esophageal varices in cirrhosis. J Coll Physicians Surg Pak. 2005;15::528-531.
- Al-Nakshabandi NA. The role of ultrasonography in portal hypertension. Saudi J Gastroenterol. 2006;12:111-117.
- Webb LJ, Berger LA, Sherlock S. Grey-scale ultrasonography of portal vein. Lancet. 1977;2:675-677.
- Nestaiko OV, Iarovoi AV, Bekov AD. [Ultrasonographic symptoms of portal hypertension]. Med Radiol (Mosk). 1991;36::4-6.
- Bolondi L, Gandolfi L, Arienti V, Caletti GC, Corcioni E, Gasbarrini G, et al. Ultrasonography in the diagnosis of portal hypertension: diminished response of portal vessels to respiration. Radiology. 1982;142:167-72.
- Weinreb J, Kumari S, Phillips G, Pochaczevsky R. Portal vein measurements by real-time sonography. AJR Am J Roentgenol. 1982;139:497-499.
- Niederau C, Sonnenberg A, Muller JE, Erckenbrecht JF, Scholten T, Fritsch WP. Sonographic measurements of the normal liver, spleen, pancreas, and portal vein. Radiology. 1983;149:537-540.
- Rumack CM WS, Charboneasu. Diagnostic ultrasound: St. Louis: Mosby; 2011. Weissleder R RM, Wittenberg J. Primer of diagnostic imaging imaging. St. Louis: Mosby;2011.
- Weissleder R RM, Wittenberg J. Primer of diagnostic imaging imaging. St. Louis: Mosby;2011.
- Kurtz AB MW, Hertzberg BS. Ultrasound. St. Louis: Mosby;2004.
- Stamm ER, Meier JM, Pokharel SS, Clark T, Glueck DH, Lind KE, et al. Normal main portal vein diameter measured on CT is larger than the widely referenced upper limit of 13 mm. Abdom Radiol (NY). 2016;41:1931-1936.
- O'Donohue J, Ng C, Catnach S, Farrant P, Williams R. Diagnostic value of Doppler assessment of the hepatic and portal vessels and ultrasound of the spleen in liver disease. Eur J Gastroenterol Hepatol. 2004;16:147-155.