Document Detail

Evaluation of hepatic venous pulsatility and portal venous velocity with Doppler ultrasonography during the puerperium.
MedLine Citation:
PMID:  10399614     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study is to evaluate pregnancy-induced changes of hepatic venous pulsatility and portal venous velocity in the puerperium and to determine if these changes disappeared by the end of the puerperium. METHODS AND MATERIAL: Healthy normal volunteers (90) were examined on the 2nd and 7th days of puerperium and between the 6th and 8th weeks postpartum. Doppler waveform patterns were obtained in the middle hepatic vein and main portal vein. The hepatic venous pulsatility was named as normal, damped or flat. RESULTS: On the 2nd day postpartum, the hepatic vein pulsatility was shown as normal in 8 (26%), damped in 11 (37%) and flat in 11 (37%) cases. On the 7th day postpartum, 15 (50%) cases had normal, 9 (30%) cases had dampened, and 6 (20%) cases had still flat pattern. The majority of the cases (60%) displayed normal hepatic venous pulsatility in the 6th and 8th weeks of puerperium, whereas 23% had still dampened and 17% had flat patterns. There was a trend toward normal pulsatility with increasing puerperal age. The mean portal venous velocity was still higher than the non-pregnant levels and did not showed significant alterations during puerperium. CONCLUSION: This study emphasised that, since pregnancy-induced alterations in hepatic venous pulsatility and portal venous velocity had not completely returned to normal in most cases until the end of the puerperium, these physiological changes should be considered whenever hepatic and portal systems are interpreted with Doppler sonography during the puerperal period.
G Pekindil; F G Varol; M A Yüce; T Yardim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of radiology     Volume:  29     ISSN:  0720-048X     ISO Abbreviation:  Eur J Radiol     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-09-02     Completed Date:  1999-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  266-9     Citation Subset:  IM    
Department of Radiology, Trakya University School of Medicine, Edirne, Turkey.
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MeSH Terms
Blood Flow Velocity
Hepatic Veins / ultrasonography*
Portal System / physiology,  ultrasonography
Portal Vein / ultrasonography*
Postpartum Period / physiology*
Pulsatile Flow / physiology
Time Factors
Ultrasonography, Doppler*

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