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肝移植术后门静脉巨大静脉曲张并血栓形成的腹部增强CT与脾门静脉造影对比:病例报告

Contrast-enhanced abdominal CT compared with splenoportography in postliver transplant with giant varix and thrombus in portal vein: Case report.

作者信息

Pandelaki Jacub, Sidipratomo Prijo, Oswari Hanifah, Matondang Sahat Basana Romanti Ezer, Wicaksono Krishna Pandu, Ramandika Heltara, Tiarasia Yuzana, Nurcahyo Kukuh, Sinaga Gideon Hot Partogi

机构信息

Department of Radiology, Dr. Cipto Mangunkusumo National General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Department of Pediatric, Dr. Cipto Mangunkusumo National General Hospital, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

出版信息

Radiol Case Rep. 2024 Sep 24;19(12):6297-6301. doi: 10.1016/j.radcr.2024.09.018. eCollection 2024 Dec.

Abstract

Imaging remains an essential aspect in evaluating patients receiving liver transplants, especially in cases of complications such as portal vein thrombosis. Several imaging modalities are available to approach portal vein thrombosis, with portography as the gold standard. However, the development of noninvasive methods such as contrast-enhanced computed tomography (CECT) is preferred nowadays due to the fewer complications in nature. This case report presented a case of a giant varix of the portal vein with thrombus in a 20-year-old male receiving living-donor liver transplant, reliably visualized in both CECT and direct splenoportography. Detailed parameters and sequences required for accurate imaging in CECT are discussed in this study.

摘要

影像学检查仍然是评估肝移植患者的一个重要方面,尤其是在出现门静脉血栓形成等并发症的情况下。有几种影像学方法可用于诊断门静脉血栓形成,其中门静脉造影是金标准。然而,由于无创方法(如对比增强计算机断层扫描,CECT)本质上并发症较少,如今更受青睐。本病例报告介绍了一名接受活体肝移植的20岁男性患者,其门静脉出现巨大静脉曲张并伴有血栓形成,在CECT和直接脾门静脉造影中均能可靠地显示。本研究讨论了CECT中准确成像所需的详细参数和序列。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/945b/11461950/e7962f9b6801/gr1.jpg

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