Adrenal pseudomasses due to varices: angiographic-CT-MRI-pathologic correlations
Periadrenal and adrenal portosystemic collaterals are a recently reported cause of adrenal pseudotumor on computed tomography (CT). Nine patients with this left adrenal pseudotumor illustrate its typical position and appearance on CT, angiography, CT-angiography, and magnetic resonance imaging (MRI). The anatomic basis for variceal adrenal pseudotumors is the left inferior phrenic vein, which passes immediately anterior to the left adrenal gland and which serves as a collateral pathway from splenic to left renal vein in portal hypertension. Thus, unlike previously described adrenal pseudotumors, these venous collaterals are not anatomically distinguishable from the adrenal gland on CT. Bolus dynamic CT is usually diagnostic, but in equivocal cases, MRI may prove useful.
- Research Organization:
- Univ. of Michigan Hospitals, Ann Arbor
- OSTI ID:
- 5149986
- Report Number(s):
- CONF-860416-
- Journal Information:
- AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 145:2; ISSN AAJRD
- Country of Publication:
- United States
- Language:
- English
Similar Records
Varices from portal hypertension: correlation of CT and angiography
Portographic Evaluation for Recurrent Esophagogastric Varices Following Devascularization Surgery
Related Subjects
62 RADIOLOGY AND NUCLEAR MEDICINE
ADRENAL GLANDS
ANATOMY
BIOLOGICAL VARIABILITY
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BODY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
COMPUTERIZED TOMOGRAPHY
DIAGNOSTIC TECHNIQUES
DISEASES
DYNAMIC FUNCTION STUDIES
ENDOCRINE GLANDS
GLANDS
HYPERTENSION
MAGNETIC RESONANCE
MEDICINE
NEOPLASMS
NUCLEAR MAGNETIC RESONANCE
NUCLEAR MEDICINE
ORGANS
PATIENTS
RADIOLOGY
RESONANCE
SYMPTOMS
TOMOGRAPHY
VASCULAR DISEASES
VEINS