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Segmental staining on hepatic arteriography as a sign of intrahepatic portal vein obstruction

Journal Article · · Radiology; (United States)

Peripheral obstruction of intrahepatic portal vein branches was detected by dynamic sequential computed tomography during arterial portography and subsequently confirmed surgically in 9 patients with hepatic neoplasm (7 hepatocellular carcinomas, 1 cholangiocarcinoma, and 1 metastatic lymphadenopathy from gastric carcinoma). Eight of these 10 segments showed more dense staining than other regions of the liver during infusion hepatic angiography. This pattern was attributed to trans-sinusoidal or peripheral arterioportal shunting. In 5 cases, the segmental staining obscured the tumor stain, making the tumor appear larger than it actually was or causing it to be missed altogether.

Research Organization:
Kanazawa Univ. School of Medicine, Japan
OSTI ID:
6444472
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 152:3; ISSN RADLA
Country of Publication:
United States
Language:
English