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Hepatic perivascular lymphedema: CT appearance.

Identifieur interne : 006264 ( PubMed/Corpus ); précédent : 006263; suivant : 006265

Hepatic perivascular lymphedema: CT appearance.

Auteurs : D B Koslin ; R J Stanley ; L L Berland ; M S Shin ; S C Dalton

Source :

RBID : pubmed:3257106

English descriptors

Abstract

The CT appearance of dilated hepatic lymphatics in liver transplant recipients has been described recently. We have observed similar findings of presumed hepatic lymphatic dilatation and perivascular lymphedema in 20 patients seen over an 8-month period, none of whom had received a liver transplant. Review of these patients' records showed that 18 (90%) of 20 had underlying disease processes that could have caused dilated lymphatics as a result of either increased lymph flow or lymphatic obstruction. We have grouped these processes into three etiologic categories: (1) posttraumatic hepatic lymphatic obstruction, (2) obstruction caused by malignant lymphadenopathy, and (3) congestive hepatomegaly caused by cardiac decompensation. The appearance of hepatic lymphatic dilatation and surrounding lymphedema needs to be recognized so that lymphatic dilatation is not mistaken for dilated intrahepatic bile ducts.

DOI: 10.2214/ajr.150.1.111
PubMed: 3257106

Links to Exploration step

pubmed:3257106

Le document en format XML

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<name sortKey="Stanley, R J" sort="Stanley, R J" uniqKey="Stanley R" first="R J" last="Stanley">R J Stanley</name>
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<name sortKey="Berland, L L" sort="Berland, L L" uniqKey="Berland L" first="L L" last="Berland">L L Berland</name>
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<name sortKey="Shin, M S" sort="Shin, M S" uniqKey="Shin M" first="M S" last="Shin">M S Shin</name>
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<div type="abstract" xml:lang="en">The CT appearance of dilated hepatic lymphatics in liver transplant recipients has been described recently. We have observed similar findings of presumed hepatic lymphatic dilatation and perivascular lymphedema in 20 patients seen over an 8-month period, none of whom had received a liver transplant. Review of these patients' records showed that 18 (90%) of 20 had underlying disease processes that could have caused dilated lymphatics as a result of either increased lymph flow or lymphatic obstruction. We have grouped these processes into three etiologic categories: (1) posttraumatic hepatic lymphatic obstruction, (2) obstruction caused by malignant lymphadenopathy, and (3) congestive hepatomegaly caused by cardiac decompensation. The appearance of hepatic lymphatic dilatation and surrounding lymphedema needs to be recognized so that lymphatic dilatation is not mistaken for dilated intrahepatic bile ducts.</div>
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<AbstractText>The CT appearance of dilated hepatic lymphatics in liver transplant recipients has been described recently. We have observed similar findings of presumed hepatic lymphatic dilatation and perivascular lymphedema in 20 patients seen over an 8-month period, none of whom had received a liver transplant. Review of these patients' records showed that 18 (90%) of 20 had underlying disease processes that could have caused dilated lymphatics as a result of either increased lymph flow or lymphatic obstruction. We have grouped these processes into three etiologic categories: (1) posttraumatic hepatic lymphatic obstruction, (2) obstruction caused by malignant lymphadenopathy, and (3) congestive hepatomegaly caused by cardiac decompensation. The appearance of hepatic lymphatic dilatation and surrounding lymphedema needs to be recognized so that lymphatic dilatation is not mistaken for dilated intrahepatic bile ducts.</AbstractText>
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