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  • 1
    ISSN: 1432-0509
    Keywords: Key words: Liver, cyst−Liver, cirrhosis−Liver, CT.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Background: To analyze the frequency and number of suspected peribiliary cysts in cirrhotic liver on computed tomography (CT). Methods: Three hundred forty-six cases with clinically diagnosed liver cirrhosis (LC) and 307 cases with clinically diagnosed non-LC were subjected to the study. The frequency and number of suspected peribiliary cysts on CT were compared between the two groups. The existence of peribiliary cysts was suggested when a cyst was observed around the second- to fourth-order branches of the intrahepatic portal vein. Results: Peribiliary cysts were suggested on CT in 31 of 346 cirrhotic livers (9.0%) and 10 of 307 noncirrhotic livers (3.3%). This difference in the frequency of peribiliary cysts was statistically significant (χ2, p 〈 0.01). Multiple peribiliary cysts were seen in 71% of cirrhotic patients with peribiliary cyst. The size of peribiliary cysts was smaller than 1.5 cm in diameter. Conclusion: Peribiliary cyst is radiologically observed more frequently in cirrhotic liver than in noncirrhotic liver and is occasionally multiple.
    Type of Medium: Electronic Resource
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  • 2
    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
    Library Location Call Number Volume/Issue/Year Availability
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