Type of Article:  Original Research

Volume 6; Issue 3.3 (Septmber 2018)

Page No.: 5588-5592

DOI: https://dx.doi.org/10.16965/ijar.2018.208


Nidhi Lal *1, Vivek Lal 2, Sayantani Majumdar 3, Sreya Moitra 4.

*1 Demonstrator, College of Medicine & Sagore Datta Medical College, Kolkata, West Bengal, India.

2 National Medical Advisor, German Leprosy & TB Relief Association- India

3 Demonstrator, College of Medicine & Sagore Datta Medical College, Kolkata, West Bengal, India.

4 Assistant Professor, College of Medicine & Sagore Datta Medical College, Kolkata, West Bengal, India.

Corresponding Author: Dr. Nidhi Lal, Demonstrator, College of Medicine & Sagore Datta Medical College, Kolkata, West Bengal, India. E-Mail: nidhi25_lal@rediffmail.com


Background: Dilatation of portal vein is predictive of portal hypertension and therefore requires accurate standards for normal measurements. Despite several studies to determine portal vein diameters, there exist considerable variations across communities. Moreover, body builds have been found to correlate with different diseases.

Purpose of study: We conducted a study among 200 normal participants belonging to Rajasthan in order to obtain data on sonographically measured diameters of portal vein and determine the association between portal vein diameters and age, sex, anthropometric measurements like height, weight, chest circumference, circumference at the transpyloric plane, circumference at the umbilicus and circumference at the hip.

Results: We found that the mean portal vein diameter assessed ultrasonographically was 10.2 mm (SD 1.47 mm), with diameter ranging from 8.0 mm to 14.5 mm. Although, there was no statistically significant difference in portal vein diameter among the various age groups, a statistically significant difference was found between males and females. Portal vein diameter showed a statistically significant, positive correlation, albeit poor with anthropometric measurements, viz. weight, chest circumference, circumference at transpyloric plane, circumference at umbilicus and circumference at hip. A strong positive correlation was found between portal vein diameter and height of the study subjects (r = 0.40). On linear regression analysis, this relationship was found to be statistically significant, with an increase in portal vein diameter of 0.06 mm for every increase of one unit (1 cm) in height.

Conclusion: The upper limit of normality of portal vein diameter was found to be 14.5 mm. Width of portal veins determined by sonography is indirect indicator of portal pressure responsible for development of varices, and prompt further investigation.

Key words: Anthropometry, Portal vein, Ultrasonography.


  1. Nuernberg D, Ignee A, Dietrich CF. Ultrasound in gastroenterology. Biliopancreatic system. Med Klin (Munich).2007;102(2):112-126.
  2. Mittal R, Chowdhary DS. A pilot study of the normal measurements of the liver and spleen by ultrasonography in the Rajasthani population. Journal of Clinical and Diagnostic Research.2010; 4:2733-2736.
  3. Nidhi Lal, Simmi Mehra, Vivek Lal. Ultrasonographic measurement of normal common bile duct diameter and its correlation with age, sex and anthropometry. Journal of Clinical and Diagnostic Research. 2014 Dec;8(12):AC01-AC04.
  4. Center for Disease Control and Prevention. National Health and Nutrition Examination Survey III. Body Measurements (Anthropometry). 1988.
  5. Sinha R. Grayscale and pulsed Doppler characteristics of non-cirrhotic portal fibrosis: a preliminary report. Clinical Radiology. 1999;54(3):156-159.
  6. Wiersema MJ, Chak A, Kopecky KK, Wiersema LM. Duplex Doppler endosonography in the diagnosis of splenic vein, portal vein, and portosystemic shunt thrombosis. Gastrointestinal Endoscopy. 1995 Jul;42(1):19-26.
  7. Abdel-Latif Z, Ahdel-Wahab MF, El-Kady NM. Evaluation of portal hypertension in cases of hepatosplenic schistosomiasis using ultrasound. Journal of Clinical Ultrasound. 1981;9:409-412.
  8. Mildenberger P, Lotz R, Kreitner KF. Duplex sonography of the normal portal vein. Dtsch Med Wochenschr. 1987;112(50):1936-1939.
  9. Arjmand Shabestari A, BagherzadehYazdi MH. Measurement of main portal vein diameter, peak velocity and volume flow and its associated factors in healthy adults. Pajouhandeh quarterly Research Journal. 2003;31:25-30.
  10. Webb LJ, Berger LA, Sherlock S. Grey scale ultrasound of portal vein. Lancet. 1979;2:675-677.
  11. Rahim N, Adam EJ. Ultrasound demonstration of variations in normal portal vein diameter with posture. British Journal of Radiology. 1985;58:313-314.
  12. Yazdi HR, Khalilian MR. Sonographic assessment of respiratory variations in diameter of portal and splenic veins in cirrhotic patients and healthy controls. Iranian Journal of Radiology. 2005;2:95-98.
  13. Yazdi HR, Sotoudeh H. Assessment of normal doppler parameters of portal vein and hepatic artery in 37 healthy Iranian volunteers. Iranian Journal of Radiology. 2006;3(4):213-216.
  14. Weinreb J, Kumari S, Phillips G, Pochaczevsky R. Portal vein measurements by real-time sonography. American Journal of Roentgenology. 1982;139:497-499.
  15. Cosar S, Oktar SO, Cosar B, Yucel C, Ozdemir H. Doppler and grayscale ultrasound evaluation of morphological and hemodynamic changes in liver vasculature in alcoholic patients. European Journal of Radiology. 2005;54:393-399.
  16. El Sharkawy E, Faris R, Grumbach K, Edelman R, Clemens J, Rao M,Darwish M. Ultrasonographic measurements of the normal liver and spleen among Egyptians 10-50 years old. Journal of the Egyptian Public Health Association. 1997;72(3):257-283.
  17. Bolondi L, Gandolfi L, Arienti V, Caletti GC, Corcoini E, Gasbarrini G, Labo G. Ultrasonography in the diagnosis of portal hypertension: diminished response of portal vessels to respiration. 1982;142:167-172.
  18. Bannazadeh H, Salehian MT, Baharestani B. Liver weight and the dimensions of its vessels and biliary ducts: a study on 40 Iranian cadavers. Archives of Iranian Medicine. 2000;3(4):189-191.
  19. Chuo LS, Mahmud R, Salih QA. Color doppler ultrasound examination of the main portal vein and inferior vena cava in normal Malaysian adult population: a fasting and post prandial evaluation. The Internet Journal of Cardiovascular Research. 2005;2(2).
  20. Anakwue AC, Anakwue RC, Ugwu AC, Nwogu UB, Idigo FU, Agwu KK. Sonographic evaluation of normal portal vein diameter in Nigerians. European Journal of Scientific Research. 2009;36(1):114-117.
  21. Shankar RG, Shetty S, Srinath MG, Kulkarni R. Estimation of portal vein diameter in correlation with the age, sex and height of an individual. Anatomica Karnataka. 2011;5(2):13-16.
  22. Moriyasu F, Ban N, Nishida O, Nakamura T, Miyake T, Uchino H, Kanematsu Y, Koizumi S. Clinical application of an ultrasonic duplex system in the quantitative measurement of portal blood flow. Journal of Clinical Ultrasound. 1986;14:579-588.
  23. Tessler FN, Gehring BJ, Gomes AS, Perrella RR, Ragavendra N, Busuttil RW, Grant EG. Diagnosis of portal vein thrombosis: value of color Doppler imaging. American Journal of Roentgenology. 2004;157:293-296.
  24. Singh S, Arvind Kumar Pankaj, Anita Rani, Pradeep Kumar Sharma, Puja Chauhan. Gender Linked Metric Analysis of Portal Vein: A Sonographic Appraisal. Journal of Clinical and Diagnostic Research. March 2017;11(3):AC13-AC15.
  25. Bombelli L, Genitoni V, Biasi S, Materazzo C, Bonfanti G. Liver hemodynamic flow balance by image-directed doppler ultrasound evaluation in normal subjects. Journal of Clinical Ultrasound. 1991;30:503-509.
  26. Vocke AK, Kardorff R, Ehrich JHH. Sonographic measurements of the portal vein and its intrahepatic branches in children. European Journal of Ultrasound. 1998;7(2):121-127.
  27. Niederau C, Sonnenberg A, Müller JE, Erckenbrecht JF, Scholten T,Fritsch WP. Sonographic measurements of the normal liver, spleen, pancreas, and portal vein. 1983;149(2):537-540.
  28. Saha N, Ruma Sarkar, Moirangthem Matum Singh. Portal vein diameter in a tertiary care centre in North-East India. IOSR Journal of Dental and Medical Sciences. Dec 2015;14(12):110-113.

Cite this article: Nidhi Lal, Vivek Lal, Sayantani Majumdar, Sreya Moitra. ANTHROPOMETRIC CORRELATES OF SONOGRAPHICALLY-DETERMINED NORMAL PORTAL VEIN DIAMETER: RESULTS FROM A STUDY CONDUCTED IN RAJASTHAN, INDIA. Int J Anat Res 2018;6(3.3):5588-5592. DOI: 10.16965/ijar.2018.208