# A Case of Idiopathic Portal Hypertension Diagnosed by Noninvasive Fibrosis Evaluation Using Elastography

## TL;DR

A case shows how elastography can help diagnose idiopathic portal hypertension without invasive tests.

## Contribution

This paper presents a case where elastography was used to noninvasively diagnose idiopathic portal hypertension.

## Key findings

- Elastography helped distinguish idiopathic portal hypertension from liver cirrhosis.
- Liver and spleen stiffness measurements were useful in diagnosing idiopathic portal hypertension.

## Abstract

Idiopathic portal hypertension (IPH) is often misdiagnosed as liver cirrhosis. Because it is difficult to distinguish between the two using diagnostic imaging, invasive tests, such as pathology and hepatic vein pressure gradient measurement, are necessary to make a diagnosis. Several studies have shown that the measurement of liver and spleen stiffnesses using elastography is useful in the diagnosis of IPH; however, there are few concrete reports on this subject. Herein, we report the case of a 58-year-old woman with IPH in which elastography was helpful for the diagnosis.