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  • Key words: Gallbladder varices—Portal venous thrombosis—Color Doppler sonography—CT during arterial portography (CTAP).  (1)
  • Key words: Liver, CT—Portography—Hepatic veins, stenosis or obstruction—Hepatic veins, transluminal angioplasty—Hepatic veins, thrombosis.  (1)
  • Key words: MRI—Technique—MR angiography—Abdomen—Contrast agents.  (1)
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  • 1
    ISSN: 1432-0509
    Keywords: Key words: Liver, CT—Portography—Hepatic veins, stenosis or obstruction—Hepatic veins, transluminal angioplasty—Hepatic veins, thrombosis.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Background: To assess the intrahepatic portal flow in patients with Budd-Chiari syndrome (BCS) by computed tomography (CT) during arterial portography (CTAP). Methods: Five patients with BCS [with (n = 3) and without (n = 2) inferior vena cava (IVC) obstruction] underwent both CTAP and postcontrast CT following CTAP. CTAP and postcontrast CT after angioplasty were also performed in one patient. Findings on CTAP and postcontrast CT were analyzed retrospectively. Results: Patients with IVC obstruction and a patent large hepatic vein showed homogeneous hepatic enhancement on CTAP. Patients without IVC obstruction and with no patent large hepatic veins showed heterogeneous hepatic enhancement, which consisted of patchy enhancement and more definite enhancement in the central part of the liver. On postcontrast CT, the patchy enhancement was enlarged compared with that on CTAP in these patients. The heterogeneous hepatic enhancement became homogeneous in the patient who underwent angioplasty. Conclusion: We suggest that the more marked the blood congestion, the more heterogeneous the hepatic enhancement becomes on CTAP. Heterogeneous hepatic enhancement on CTAP is seen in such cases without any patent hepatic veins.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0509
    Keywords: Key words: MRI—Technique—MR angiography—Abdomen—Contrast agents.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Dynamic contrast-enhanced whole-abdomen axial images were obtained by using a fat-suppressed, three-dimensional, breath-hold enhanced fast spoiled gradient-echo technique, configured for optimal evaluation for detection and characterization of liver lesions. We then evaluated the feasibility of using these images to reconstruct “free” abdominal magnetic resonance angiography, without additional cost or acquisition time, in 32 randomly chosen patients. The aorta, celiac trunk, superior mesenteric, hepatic, splenic, and renal arteries were clearly depicted.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-0509
    Keywords: Key words: Gallbladder varices—Portal venous thrombosis—Color Doppler sonography—CT during arterial portography (CTAP).
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Gallbladder varices were correctly diagnosed by color Doppler sonography and computed tomography during arterial portography (CTAP) in two patients with portal vein thrombosis. One patient with multiple hepatocellular carcinomas showed extrahepatic and intrahepatic portal vein occlusion by a tumor thrombus. The other patient, with liver cirrhosis, had a portal vein thrombosis. Color Doppler sonography clearly showed the portal vein occlusion, cavernous transformation of collateral veins, and gallbladder varices that drained into the intrahepatic portal venous branches. The intrahepatic portal venous branch, connecting to the gallbladder varices, exhibited reverse flow from the periphery to the hilum of the liver. CTAP also demonstrated gallbladder varices communicating directly with the intrahepatic portal vein branches in both patients. Gallbladder varices developed as a venous collateral because of extrahepatic portal vein occlusion. Color Doppler sonography and CTAP are useful for detecting these varices and planning biliary surgery in patients with portal vein thrombosis.
    Type of Medium: Electronic Resource
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