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Clinical anatomy in the context of portal hypertension.

Clinical anatomy in the context of portal hypertension.

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Portal System<br />

variations<br />

• Variations are relatively rare<br />

• Length <strong>of</strong> ma<strong>in</strong> <strong>portal</strong> stem : 55-80 mm<br />

• Diameter: 11 mm, more <strong>in</strong> cirrhosis<br />

• Ma<strong>in</strong> variations <strong>in</strong>volve connections <strong>of</strong><br />

gastric coronary ve<strong>in</strong> and IMV<br />

anomalies<br />

• Anomalies are rare<br />

• Anterior position <strong>of</strong> <strong>portal</strong> ve<strong>in</strong> relative<br />

to pancreas and duodenum<br />

• Portal ve<strong>in</strong> bypass<strong>in</strong>g liver and dra<strong>in</strong><strong>in</strong>g<br />

<strong>in</strong>to IVC<br />

from Netter 1957

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