Ong Eugene M W, Drukteinis Jennifer S, Peters Hope E, Mortelé Koenraad J
Division of Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Emerg Radiol. 2009 Sep;16(5):357-63. doi: 10.1007/s10140-009-0800-3. Epub 2009 Feb 19.
Hepato-biliary disorders are rare complications of pregnancy, but they may be severe, with high fetal and maternal morbidity and mortality. Imaging is, therefore, essential in the rapid diagnosis of some of these conditions so that appropriate, life-saving treatment can be administered. This pictorial essay illustrates the multimodality imaging features of pregnancy-induced hepato-biliary disorders, such as acute fatty liver of pregnancy, preeclamsia and eclampsia, and HELLP syndrome, as well as those conditions which occur in pregnancy but are not unique to it, such as viral hepatitis, Budd-Chiari syndrome, focal hepatic lesions, biliary sludge, cholecystolithiasis, and choledocholithiasis.
肝胆疾病是妊娠罕见的并发症，但可能很严重，会导致高胎儿和孕产妇发病率及死亡率。因此，影像学检查对于快速诊断其中一些病症至关重要，以便能够给予适当的挽救生命的治疗。这篇图文并茂的文章阐述了妊娠引起的肝胆疾病的多模态影像学特征，如妊娠急性脂肪肝、先兆子痫和子痫，以及HELLP综合征，还有那些虽在孕期发生但并非孕期特有的病症，如病毒性肝炎、布加综合征、肝脏局灶性病变、胆泥、胆囊结石和胆总管结石。
