Imaging in Cirrhotic Patients Undergoing Surgical Procedures



Preoperative imaging plays an important role in cirrhotic patients undergoing surgery. The imaging may make an initial diagnosis of cirrhosis in a patient with no known history of liver disease and demonstrate findings of advanced liver disease, such as ascites, splenomegaly, and portosystemic collateral pathways. In both scenarios, the identification of cirrhosis and complications is important in the preoperative setting, since cirrhotic patients have increased risk of surgical complications. In this chapter, we will discuss the imaging findings used to make the radiographic diagnosis of cirrhosis. Extrahepatic manifestations of cirrhosis will also be reviewed with an emphasis on portal hypertension and portosystemic collaterals. Further, the clinical implication of some of these findings will be touched upon.


Cirrhosis Portosystemic collateral Portal hypertension Varices Ascites Hepatofugal CT MRI Ultrasound 



Computed tomography


Inferior mesenteric vein


Inferior vena cava

MR (or MRI)

Magnetic resonance (or magnetic resonance imaging)


Magnetic resonance elastography


Superior vena cava


Transjugular intrahepatic portosystemic shunt




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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of RadiologyCleveland ClinicClevelandUSA

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