02.09.2015 Views

and Incomplete Septal Cirrhosis

Non-cirrhotic portal hypertension & incomplete septal cirrhosis

Non-cirrhotic portal hypertension & incomplete septal cirrhosis

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Primary Hepatic Vascular Diseases associated with Portal Hypertension<br />

(Non - Cirrhotic )<br />

Site of vessel Pathological changes Clinical Syndromes<br />

Portal vein<br />

(large)<br />

Thrombosis<br />

Portal vein thrombosis<br />

Portal vein<br />

(small)<br />

Sinusoid<br />

Hepatic vein<br />

(small)<br />

Hepatic vein<br />

(large)<br />

Obliteration/loss<br />

• possibly related to previous<br />

thrombosis<br />

(“hepato-portal sclerosis”)<br />

Endothelial injury<br />

• usually caused by toxins<br />

(dilatation/congestion)<br />

Endothelial injury<br />

• usually caused by toxins<br />

(luminal occlusion)<br />

Thrombosis<br />

“Idiopathic” non-cirrhotic<br />

portal hypertension<br />

“Sinusoidal obstruction<br />

syndrome”<br />

Hepatic veno-occlusive<br />

disease<br />

Budd-Chiari syndrome

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