Portal Hypertension

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This  is high  blood  pressure  in  the  hepatic  portal  system  which  includes  the  portal  veins  and  its  branches  which  drains  from  most  of  the  intestines  to  the  liver.  It  is  indicated  when  the  hepatic  venous pressure gradient exceeds 7mmHg, while liver cirrhosis remains the most common cause  which in our local setting is commonly caused by chronic viral hepatitis followed by heavy alcohol  intake. 

Clinical Presentation

• Ascites, Splenomegaly
• Esophageal varices, and hematemesis
• Swollen veins of the anterior abdomen (caput medusa) and hemorrhoids

Investigations 

• Radiological evidence of shrunken liver, with typical features of cirrhosis