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background: there are two kinds of ascites, cirrhotic and malignant. the conventional diagnostic method to differentiate them is paracentesis. this is an invasive and time consuming method. however, ultrasonography is an easy and available method to provide valuable results in a short period of time. the aim of this study was to evaluate gallbladder wall thickness in differentiating cirrhotic a...

despite the fact that hepatic involvement is frequently seen in systemic primary amyloidosis, major hepatic symptoms as primary manifestation and severe impaired liver function are rare. herein, we report a 38-year-old woman with primary hepatic amyloidosis, and severe  portal hypertension . the patient had ascites and markedly elevated alkaline phosphatase level at presentation. she had a rapi...

BACKGROUND All conditions that interfere with blood flow at any level within the portal system can lead to portal hypertension. For better management of this disorder, it is important to determine the underlying cause. In previous studies, extra-hepatic disorders have been reported as the main cause of portal hypertension in children. In this study, we investigate the underlying causes of porta...

A case of non-cirrhotic portal hypertension in a patient with systemic lupus erythematosus, the first of our knowledge, is described. Severe pulmonary hypertension was associated with the portal hypertension and with markers of active auto-immunity. Pulmonary hypertension has not previously been associated with non-cirrhotic portal hypertension. The coexistence of vasculopathy of the portal and...

We report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. He presented with bleeding esophageal varices and was initially treated by sclerotherapy. At laparotomy, portal pressure was 40 cmH20 but fell to 20 cm H20 after the fistula was treated with splenectomy. All symptoms disappeared shortly after operation ...

I WILL present a personal approach to the problem of portal hypertension, without attempting to cover the subject exhaustively, but emphasizing what I feel to be the important points for consideration in relation to the management of patients. Causes of portal hypertension The most important cause of portal hyperten-sion is chronic liver disease which usually implies cirrhosis of the liver. The...