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. 2014 Jul 28;4(3):247–256. doi: 10.1016/j.jceh.2014.07.005

Table 1.

Criteria for Diagnosing Idiopathic Non-Cirrhotic Intrahepatic Portal Hypertension (NCIPH).

Essential criteria14
  • Presence of portal hypertension with splenomegaly

  • Patent portal vein and hepatic venous outflow tract

  • Normal or near normal liver function

  • Absence of parenchymal disease and cirrhosis/advanced fibrosis on liver biopsy

  • No obvious etiology of chronic liver disease (e.g. alcohol, Hepatitis viruses)

Other etiologies with similar histological findings are ruled out (e.g. congenital hepatic fibrosis, primary biliary cirrhosis, sarcoidosis, schistosomiasis)
Variants–supplementary (non-essential) criteria.
  • Nodular regenerative hyperplasia9: With distinct contrast between nodular and internodular tissue in most area nodules less than 3 mm.

  • Hepatoportal sclerosis11 (i) Thrombosis/sclerosis of small portal vein branches; and/or (ii) intrahepatic aberrant abnormal portal venules, defined as absent or clearly reduced in caliber with sclerosis of vessels.

  • Obliterative portal venopathy15 (i) Liver biopsy longer than 1 cm and containing more than 5 complete portal tracts; more than 2/3 (66%) of the complete portal tracts harboring thickening of the vein's smooth muscle wall.

  • Incomplete septal cirrhosis10 (i) Parenchymal nodularity; (ii) thin incomplete septa.