Current Problems in Diagnostic Radiology
Volume 38, Issue 6 , Pages 264-273 , November 2009

Computed Tomographic Appearances of Hepatic Vascular Lesions

  • Lye Quen Hon, MB BCh, MRCP, FRCR

      Affiliations

    • Radiology Department, Royal Hallamshire Hospital, Sheffield, United Kingdom
    • Corresponding Author InformationReprint requests: Lye Quen Hon, MB BCh, MRCP (UK) FRCR (UK), Specialist Registrar in Radiology, Royal Hallamshire Hospital, C Floor Radiology Department, Sheffield S10 2 JF, UK
    • ,
  • Arul Ganeshan, MB BCh, BSc, MRCP, FRCR

      Affiliations

    • University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada
    • Addenbrooks Hospital, Cambridge, United Kingdom
    • ,
  • Sarfraz Nazir, MA, BM, BCh, MRCS, FRCR

      Affiliations

    • John Radcliffe Hospital, Oxford, United Kingdom
    • ,
  • Sara Upponi, MBBS, MSc, FRCS, FRCR

      Affiliations

    • Addenbrooks Hospital, Cambridge, United Kingdom
    • ,
  • Helen Bungay, MBBCh, MA, MRCP, FRCR

      Affiliations

    • John Radcliffe Hospital, Oxford, United Kingdom
    • ,
  • Raman Uberoi, MBBS, BSc, MRCP, FRCR

      Affiliations

    • John Radcliffe Hospital, Oxford, United Kingdom
    • ,
  • Dinuke Warakaulle, MBBS, MRCP, FRCR

      Affiliations

    • Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, United Kingdom

References 

  1. Sarin SK, Agarwal SR. Extrahepatic portal vein obstruction. Semin Liver Dis. 2002;22:43–58
  2. Mathieu D, Vasile N, Grenier P. Portal thrombosis: dynamic CT features and course. Radiology. 1985;154:737–741
  3. Ito K, Higuchi M, Kada T, et al. CT of acquired abnormalities of the portal venous system. Radiographics. 1997;17:897–917
  4. LaBerge JM, Laing FC, Federle MP, et al. Hepatocellular carcinoma: assessment of resectability by computed tomography and ultrasound. Radiology. 1984;152:485–490
  5. Mathieu D, Grenier P, Larde D, et al. Portal vein involvement in hepatocellular carcinoma: dynamic CT features. Radiology. 1984;152:127–132
  6. Okuda K, Musha H, Yoshida T, et al. Demonstration of growing casts of hepatocellular carcinoma in the portal vein by celiac angiography: the thread and streaks sign. Radiology. 1975;117:303–309
  7. Imaeda T, Yamawaki Y, Hirota K, et al. Tumor thrombus in the branches of the distal portal vein: CT demonstration. J Comput Assist Tomogr. 1989;13:262–268
  8. Martin K, Balfe DM, Lee JK. Computed tomography of portal vein thrombosis: unusual appearances and pitfalls in diagnosis. J Comput Assist Tomogr. 1989;13:811–816
  9. Tublin ME, Dodd GD, Baron RL. Benign and malignant portal vein thrombosis: differentiation by CT characteristics. AJR. 1997;168:719–723
  10. Patel NH. Portal hypertension. Semin Roentgenol. 2002;37:293–302
  11. Cho KC, Patel YD, Wachsberg RH, et al. Varices in portal hypertension: evaluation with CT. Radiographics. 1995;15:609–622
  12. Stehling MK, Lawrence JA, Weintraub JL, et al. CT angiography: Expanded clinical applications. AJR. 1994;163:947–955
  13. Mathieu D, Vasile N, Dibie C, et al. Portal thrombosis: dynamic CT features and course. Radiology. 1985;154:737–741
  14. De Gaetano AM, Lafortune M, Patriquin H, et al. Cavernous transformation of the portal vein: patterns of intrahepatic and splanchnic collateral circulation detected with Doppler sonography. AJR. 1995;165:1151–1155
  15. Chow L, Jeffrey RB. Intramural varices of the bile duct: An unusual pattern of cavernous transformation of the portal vein. AJR. 1999;173:1255–1256
  16. Gryspeerdt S, Van Hoe L, Marchal G, et al. Evaluation of hepatic perfusion disorders with double-phase spiral CT. Radiographics. 1997;17:337–348
  17. Muscari F, Suc B, Lagarrigue J. Hepatic portal venous gas: Is it always a sign of severity and surgical emergency?. Chirurgie. 1999;124:69–72
  18. Sebastià C, Quiroga S, Espin E, et al. Portomesenteric vein gas: pathologic mechanisms, CT findings, and prognosis. Radiographics. 2000;20:1213–1224
  19. Lane MJ, Jeffrey RB, Katz DS. Spontaneous intrahepatic vascular shunts. AJR. 2000;174:125–131
  20. Park JH, Cha SH, Han JK, et al. Intrahepatic portosystemic venous shunt. AJR. 1990;155:527–528
  21. Kim TK, Choi BI, Han JK, et al. Nontumorous arterioportal shunt mimicking hypervascular tumor in cirrhotic liver: two-phase spiral CT findings. Radiology. 1998;208:597–603
  22. Chen Q, Tack C, Morcos M, et al. Embolotherapy of an arterioportal fistula. Cardiovasc Intervent Radiol. 2007;30:1047–1051
  23. Quiroga S, Sebastia C, Pallisa E, et al. Improved diagnosis of hepatic perfusion disorders: value of hepatic arterial phase imaging during helical CT. Radiographics. 2001;21:65–81
  24. Parker RGF. Arterial infarction of the liver in man. J Pathol. 1955;70:521–528
  25. Seeley TT, Blumenfeld CM, Ikeda R, et al. Hepatic infarction. Hum Pathol. 1972;3:265–276
  26. Woolling KR, Baggenstoss AH, Weir JF. Infarcts of the liver. Gastroenterology. 1951;17:479–493
  27. Adler DD, Glazer GM, Silver TM. Computed tomography of liver infarction. AJR. 1984;142:315–318
  28. Holbert BL, Baron RL, Dodd GD. Hepatic infarction caused by arterial insufficiency: spectrum and evolution of CT findings. AJR. 1996;166:815–820
  29. Shanley CJ, Shah NL, Messina LM. Uncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic. Ann Vasc Surg. 1996;10:506–515
  30. O'Driscoll D, Olliff SP, Olliff JF. Hepatic artery aneurysm. Br J Radiol. 1999;72:1018–1025
  31. Katyal S, Oliver JH, Buck DG, et al. Detection of vascular complications after liver transplantation: early experience in multislice CT angiography with volume rendering. AJR. 2000;175:1735–1739
  32. Abbasoglu O, Levy MF, Vodapally MS, et al. Hepatic artery stenosis after liver transplantation—Incidence, presentation, treatment, and long term outcome. Transplantation. 1997;63:250–255
  33. Katyal S, Oliver JH, Buck DG, et al. Detection of vascular complications after liver transplantation: early experience in multislice CT angiography with volume rendering. AJR. 2000;175:1735–1739
  34. Ito K, Siegelman ES, Stolpen AH, et al. MR imaging of complications after liver transplantation. AJR. 2000;175:1145–1149
  35. Bogin V, Marcos A, Shaw-Stiffel T. Budd-Chiari syndrome: in evolution. Eur J Gastroenterol Hepatol. 2005;17:33–35
  36. Menon KV, Shah V, Kamath PS. The Budd-Chiari syndrome. N Engl J Med. 2004;350:578–585
  37. Lim JH, Park JH, Auh YH. Membranous obstruction of the inferior vena cava: comparison of findings at sonography, CT, and venography. AJR. 1992;159:515–520
  38. Mathieu D, Vasile N, Menu Y, et al. Budd-Chiari syndrome: dynamic CT. Radiology. 1987;165:409–413
  39. Miller WJ, Federle MP, Straub WH, et al. Budd-Chiari syndrome: imaging with pathologic correlation. Abdom Imaging. 1993;18:329–335
  40. Brancatelli G, Federle MP, Grazioli L, et al. Benign regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: radiologic-pathologic and clinical correlation. Radiographics. 2002;22:847–862

PII: S0363-0188(09)00008-5

doi: 10.1067/j.cpradiol.2009.02.002

Current Problems in Diagnostic Radiology
Volume 38, Issue 6 , Pages 264-273 , November 2009

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