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What Does This Abdominal Ultrasound Report Indicate?

Posted on Thu, 23 Mar 2017

Question: Hi,

My father is 62 years old and diabetic from past 25 years, last year in April 2016 he has done bivessel CABG surgery. As part of routine health check up we have done ultrasound of abdomen and in the result it is mentioned Multiple periportal and peripancreatic protosystemic collaterals and suggested CECT of abdomen.

He is not having any symptoms related to stomach and general physician has done physical examination and everything looked normal.

Could you please let us know what exactly this means?

All blood work liver function test, kidney, cbc,everything came normal

Answered by Dr. Manisha Jain (49 minutes later)

Brief Answer:
It suggests portal hypertension

Detailed Answer:
Hello and welcome to HCM.

Thanks for writing in to us with your health concerns.

Portosystemic collaterals are seen in patients with Portal hypertension suggesting liver disease. But since all other tests are normal it rules out liver disease. It might be die to lymph node enlargement in abdomen which can press the portal vein. Go ahead with the CECT Abdomen , it is the correct investigation to move forward to look for the reason. I must tell you this findings of portosystemic collaterals can also be seen kn normal persons .

Regards
Dr Manisha Jain.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Manisha Jain (38 minutes later)

Thanks doctor for your quick reply, does this indicate any major problem?

Attaching ultrasound reports as well.

CRP, ESR, PSA also came normal.

Answered by Dr. Manisha Jain (4 hours later)

Brief Answer:
Seems normal

Detailed Answer:
Hello and welcome again. It seems that the porto systemic collaterals in case of your father are normal variant as there is no liver involvement , but it would be advisable to go through CECT Abdomen. Regards Dr Manisha Jain.

Above answer was peer-reviewed by : Dr. Prasad