Abstract
Duplex spectral or color Doppler sonography demonstrated major abdominal vessel blocks affecting 18 vessels in 16 infants aged between 23 and 56 weeks postconceptional age. The portal vein was affected in 8 infants, the renal vein in 3, the renal vein and inferior vena cava in 1, the renal artery in 1, the inferior vena cava and hepatic vein in 1, and the aorta in 2 infants. Doppler sonography confirmed the grey-scale findings and often demonstrated the extent of vascular flow, providing functional information not available from the grey-scale scan. It facilitated the follow-up of thrombosis during therapy. Most important of all, in many instances it enabled a rapid and reliable specific diagnosis often not possible on the grey-scale study alone and hence altered patient management.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Stringer DA, Daneman S, St Onge I (1985) Doppler assessment of abdominal and peripheral vessels in children. Presented at the 71st Meeting of the Radiological Society of North America, Chicago, November 17–22, 1985
Rudas G, Bors S (1988) Aortic thrombosis diagnosed by ultrasound. Pediatr Radiol 18:77
Siebert JJ, Taylor BJ, Williamson SL, Williams BJ, Szabo JS, Corbitt SL (1987) Sonographic detection of neonatal umbilical artery thrombosis: clinical correlation. AJR 148:965
Strife JL, Ball WS Jr, Towbin R, Keller MS, Dillon T (1988) Arterial occlusions in neonates: use of fibrinolytic therapy. Radiology 166:395
Patriquin H, Lafortune M, Burns PN, Dauzat M (1987) Duplex Doppler examination in portal hypertension: technique and anatomy. AJR 149:71
Raby N, Karani J, Powell-Jackson, P, Meire H, Williams R (1988) Assessment of portal vein patency: comparison of arterial portography and ultrasound scanning. Clin Radiol 39:381
Berland LL, Lawson TL, Foley WD (1982) Porta hepatis: sonographic discrimination of bile ducts from arteries with pulsed Doppler with new anatomic criteria. AJR 138:833
Weltin G, Taylor KJ, Carter AR, Taylor CR (1985) Duplex Doppler: identification of cavernous transformation of the portal vein. AJR 144:999
Shandling B (1987) Portal hypertension and varices. In: Nelson WE (ed) Nelson textbook of pediatrics, 13th edn. WB Saunders, Philadelphia, p. 849
Hayden CK Jr (1986) Pediatric ultrasonography, 1st edn. Williams and Wilkins, Baltimore, pp 169–170
Paling MR, Wakefield JA, Watson LR (1985) Sonography of experimental acute renal vein occlusion. J Clin Ultrasound 13:647
Stringer DA, O'Halpin D, Daneman A, Liu P, Geary DF (1989) Duplex Doppler sonography for renal artery stenosis in the posttransplant pediatric patient. Pediatr Radiol 19:187
Goldberg REA, Cohen AM, Bryan PJ, Olsen M, Martin RJ (1989) Neonatal aortic thrombosis treated with intra-arterial urokinase therapy. J Can Assoc Radiol 40:55
Siebert JJ, Northington FJ, Taylor BJ, Miers J (1989) Neonatal aortic thrombosis: a three year follow-up study. Pediatr Radiol 19:358 (Abstract)
Goiney R (1985) Ultrasound imaging of inferior vena vaca thrombosis. J Ultrasound Med 4:387
Keller MS, Taylor KJW, Riely CA (1989) Pseudoportal Doppler signal in the partially obstructed inferior vena cava. Radiology 170:475
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Stringer, D.A., Krysl, J., Manson, D. et al. The value of Doppler sonography in the detection of major vessel thrombosis in the neonatal abdomen. Pediatr Radiol 21, 30–33 (1990). https://doi.org/10.1007/BF02010810
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02010810