Van Maercke Y, Van Moer E
Am J Gastroenterol. 1979 May;71(5):512-5.
In a 72-year old male with fever, mild jaundice and moderate enlargement of both liver and spleen, percutaneous transhepatic cholangiography resulted in direct filling of the portal vein system. Both trunc and left and right hepatic lobe branches showed a typical pattern of incomplete portal vein thrombosis, with mural irregularities and radiolucencies within the lumen. On subsequent operative cholangiography the biliary tract was shown to be normal. At autopsy multiple intrahepatic abscesses of pylephlebitic origin were found. The significance of visualization of the portal vein system during PTC is briefly discussed in comparison with other angiographic technics.
一名72岁男性，有发热、轻度黄疸以及肝脏和脾脏中度肿大，经皮肝穿刺胆管造影显示门静脉系统直接显影。主干及左右肝叶分支均显示典型的不完全门静脉血栓形成模式，管腔内有壁不规则及透亮区。在随后的手术胆管造影中，胆道显示正常。尸检发现多个源于门静脉炎的肝内脓肿。与其他血管造影技术相比，简要讨论了经皮肝穿刺胆管造影期间门静脉系统显影的意义。
