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Echografie van de Vena Portae en Vena Hepaticae
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Casusuitwerking van het echoën van het portaal systeem en vena hepaticae. Echo-instellingen, scantechniek, overzichtstekening
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Casusuitwerking echografieCasus en vraagstelling: Echografie van de vena portae en vena hepaticae
Waarom echografie. Er is voor echo gekozen omdat dit niet schadelijk en
relatief goedkoop is, afwijkingen zijn goed te zien.
CT, MRI is ook mogelijk, echo is het makkelijkst en niet
belastend voor de patiënt
Beschrijving van de anatomie + De vena hepaticae liggen direct caudaal van het
plaatje. diafragma en lopen vanuit de vena cava.
De vena portae en aftakkingen liggen oblique ventraal van
de vena cava.
Beschrijving van de pathologie in Vena portae:
echografische terminologie. - Trombose = zeldzaam, ziekten in beenmerg,
leukemie, stollingsafwijkingen
Echorijk proces in beeld, bolletje
- Portale hypertensie = verhoogde bloeddruk (evt
trombose), slecht hart, meestal levercirrose
Bloed zoekt/maakt nieuwe weg
Caput medusae = verdikte bloedvaten op
huidopp. door verhoogde druk
Vena hepaticae:
- Trombose = zeldzaam, ziekten in beenmerg,
leukemie, stollingsafwijkingen, Budd-Chiari
Duidelijke echorijke opvulling vat
- Stuwing = hartfalen, klepinsufficiëntie, verhoogde
veneuze druk, oedeem/ascites (vocht buik)
Duidelijk vergoot ventrikel, vena cava en vena
hepaticae in bunny sign
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