Objective:To investigate the manifestations of multi-slice spiral CT (MSCT) imging in regional portal hypertension (RPH) and their clinical relevance.
Methods:The findings of MSCT (16- or 64-slice) and multi-slice spiral CT angiography (MSCTA) in 17 patients with RPH were retrospectively analyzed through observing the manifestations of splenic veins and the collateral vessels.
Results:Of the patients, 14 cases were caused by pancreatic diseases, 1 case by splenic disease and 2 cases by leukemia. The imaging studies demonstrated that splenic vein occlusion accounted for 35.3% and stenosis accounted for 64.7%. Furthermore, they showed the presence of varices in the fundus (70.6%) and (or) body (765%) of the stomach.
Conclusions:MSCT is of great value in diagnosis of RPH, and can reveal the collateral pathways and even the causes of RPH.