Document Detail


Budd-Chiari syndrome: dynamic CT.
MedLine Citation:
PMID:  3659365     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A retrospective multi-institutional study was carried out on a series of 38 patients with histologically proved Budd-Chiari syndrome: Five patients had acute disease, and 33 had subacute or chronic disease. All patients underwent dynamic CT scanning. Angiography was performed in 20 cases, inferior cavography in 22, and wedge-hepatic venography in 16. In all acute cases, CT showed global liver enlargement with diffuse hypodensity on plain scans and patchy enhancement after contrast material injection. Thrombosis of the three main hepatic veins was always demonstrated. In subacute or chronic disease, plain CT scans showed abnormalities of liver morphology and hypodensity either in atrophic areas (19 cases) or in the periphery of the liver (eight cases). With dynamic CT, patchy enhancement was present in 28 cases. Correlation with angiography in 15 cases revealed a normal portal blood flow in enhanced areas and an inversed portal blood flow in atrophic areas. Different morphologic and enhancement patterns on CT scans could be related to the direction of portal blood flow, which changes with different stages of Budd-Chiari syndrome.
Authors:
D Mathieu; N Vasile; Y Menu; B Van Beers; J M Lorphelin; J Pringot
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  165     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1987-11-18     Completed Date:  1987-11-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  409-13     Citation Subset:  AIM; IM    
Affiliation:
CHU Henri Mondor, Department of Radiology, Créteil, France.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Budd-Chiari Syndrome / radiography*
Chronic Disease
Collateral Circulation
Contrast Media
Female
Hepatic Veins / radiography
Humans
Liver / radiography
Male
Portal Vein / radiography
Retrospective Studies
Time Factors
Tomography, X-Ray Computed*
Vena Cava, Inferior / radiography
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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