Hypertension portale

The hypertension portale is defined by a pressure of the Portal vein higher than 10 mmHg, or by a Gradient of pressure Oporto-cellar superior to 5 mmHg.

Anatomy

The Foie is connected in series to the portal vein which is divided into 2 branches, and the purpose of which is to bring back all the venous blood of the digestive bodies towards the vena cava. Thus the liver can play its part of purification and synthesis of blood proteins.

Image of anatomy of the liver

Semiology

Private clinic

  • Ascite

  • collateral venous Circulation (generally umbilical)
  • Splénomégalie, due to a derivation of blood portal towards the splenic vein (see anatomy)
  • Oedemas of the lower extremities

Hypertension portale can also appear by a complication (generally rupture of varixes œsophagiennes or infection of liquid of ascite)

Endoscopic

  • Varixes œsophagiennes
  • Gastropathie congestive

Principal etiologies

Sources

  • Hépato-gastro-entérologie - Editions Vernazobres Grego
  • Virtual Medical University French-speaking (UMVF): UMVF
  • University of Rennes - course on line: Course of hepatology

  • AMVF - Association of the Patients of the Vessels of the Liver

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