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G I RADIOLOGY Table of Contents   
Year : 2000  |  Volume : 10  |  Issue : 1  |  Page : 21-23
Reversal of portal flow in liver abscesses


1 Dept of Radiology, University College of Medical Science & GTB Hospital, New Delhi, India
2 Dept of Surgery, University College of Medical Science & GTB Hospital, New Delhi, India

Correspondence Address:
Satish K Bhargava
Dept of Radiology and Imaging, University College of Medical Science & GTB Hospital, Dilshad Garden, New Delhi 110095
India
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Source of Support: None, Conflict of Interest: None


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Objective: To establish temporary change in portal hemodynamics (reversal of portal flow) in hepatic abscesses on color and duplex Doppler sonography Material and Methods: Twenty-five patients with clinically suspected and diagnosed liver abscesses on gray scale B mode real time imaging were evaluated by color and pulsed Doppler imaging. Results: Reversal of portal flow from one or more portal branches was seen in lesions measuring >10 cm in six out of ten cases of right lobe abscess and one out of four cases of left lobe abscess. Eight out of ten cases of multiple liver abscesses (both lobes) measuring >6cm, showed reversed flow. Normalization of flow occurred after treatment. Conclusion: Color and pulsed Doppler sonography allows noninvasive and rapid diagnosis of hepatofugal flow in early stages of hepatic abscesses. Thus early stage of hepatic abscess should be considered as one of the differential diagnosis of liver tumors with reversal of portal flow.


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