Intrahepatic portal hypertension contributes to fluid accumulation in the abdominal cavity (ascites) by forcing more fluid across the liver capsule into the abdominal cavity than the body is capable of draining. Acute portal hypertension may cause mild to moderate enlargement of the spleen, but marked enlargement requires sustained portal hypertension over a long period of time. Protein-containing fluid (ascitic fluid) may leak from the surface of the liver and intestines and expand (distend) the abdominal cavity, a condition called ascites. Varicose veins in the esophagus (esophageal varices) and in the upper part of the stomach bleed easily and sometimes massively. Varicose veins in the rectum may also bleed, though this is much less common.
More information on portal hypertension
What is portal hypertension? - Portal hypertension is the build-up of pressure in the portal vein. The portal vein connects the intestines and the liver, and supplies most of the liver's blood and oxygen. What causes portal hypertension? - Portal vein thrombosis is only one cause of portal hypertension, and usually happens in children whose liver is otherwise normal. What're symptoms of portal hypertension? - Intrahepatic portal hypertension contributes to fluid accumulation in the abdominal cavity. Acute portal hypertension may cause mild to moderate enlargement of the spleen. How is portal hypertension diagnosed? - The diagnosis of portal hypertension may be suspected by the patient's signs and symptoms and may easily be confirmed by ultrasound examination of the abdomen. What's the treatment for portal hypertension? - Treatment for portal hypertension is directed at the cause of portal hypertension. Medical care includes emergent treatment, primary prophylaxis, and elective treatment.
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