Portal hypertension
Portal hypertension is hypertension (high blood pressure) in the hepatic portal system, which is composed of the portal vein and its branches and tributaries. Portal hypertension is defined as elevation of hepatic venous pressure gradient. In clinical practice the pressure is not measured directly until the decision to place a transjugular intrahepatic portosystemic shunt has been made. Part of the procedure, a hepatic vein wedge pressure is measured with the assumption of no pressure drop across the liver yielding portal vein pressure.
Signs and symptoms
In terms of the signs and symptoms of portal hypertension are the following:They include:
Ascites (free fluid in the peritoneal cavity).
Dilated veins in the anterior abdominal wall
Splenomegaly
Abdominal tenderness (Spontaneous bacterial peritonitis. presents as complication)
Jaundice (Hepatorenal syndrome. presents as complication)
Causes
The causes for portal hypertension are as follows:
Prehepatic causes include portal vein thrombosis or congenital atresia.