Comparison of ultrasonography, computed tomography and 99mTc liver scan in diagnosis of Budd-Chiari syndrome

S. Gupta, S. Barter, G. W.L. Phillips, R. N. Gibson, H. J. Hodgson

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Abstract

Ultrasonography, computed tomography and 99mTc liver scanning are all useful in diagnosis of patients with the Budd-Chiari syndrome. In a study to determine their comparative value characteristic findings were recorded in all nine patients at ultrasonography and in seven patients at computed tomography. In contrast 99mTc liver scan showed a characteristic pattern in only one of eight patients. In our experience intrahepatic venous abnormalities were seen better at ultrasonography than at computed tomography. In addition, abnormality in the direction of blood flow could be detected by pulsed Doppler examination. Ultrasonography is relatively inexpensive, readily accessible, does not require administration of radiation or contrast agents and therefore should be the primary non-invasive investigation of patients with Budd-Chiari syndrome, or those at risk of developing it.

Original languageEnglish (US)
Pages (from-to)242-247
Number of pages6
JournalGut
Volume28
Issue number3
DOIs
Publication statusPublished - Jan 1 1987
Externally publishedYes

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ASJC Scopus subject areas

  • Gastroenterology

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