M. Koda et al., ASYMPTOMATIC EXTRAHEPATIC PORTAL OBSTRUCTION WITHOUT PORTAL HYPERTENSIVE FINDINGS DETECTED IN ULTRASONIC MASS-SCREENING, Hepato-gastroenterology, 42(4), 1995, pp. 406-410
Background/Aims: We report three adult cases of extrahepatic portal ob
struction (EHPO) detected by ultrasonic (US) mass screening. Material
and Methods: All these cases were asymptomatic with no abnormalities o
n hematological or biochemical tests, Only indocynanine green clearanc
e test revealed a slight abnormality. By imaging modalities, the porta
l trunk could not be visualized and cavernous transformation could be
visualized. Results: There were no findings of portal hypertension, su
ch as splenomegaly, esophageal varices and hepatofugal collaterals, in
any of these cases. Conclusions:As many EHPOs without symptoms can be
detected on US mass survey, US is considered to be the best modality
for screening for this disease.