Bücheler E, Hagemann J, Remmecke J
Rofo. 1980 Sep;133(3):285-9. doi: 10.1055/s-2008-1056727.
A case of post partum acute thrombosis of the hepatic artery with infarction of the liver is reported. The prognosis depends on the areas of obstruction, on the early development of a collateral circulation and on the contribution to the blood supply from the portal vein. The diagnosis of liver infarction was made by computed tomography. This was characterised by sharply demarkated hypodense areas, which did not enhance with contrast. An important clue is the lack of increase in density in the liver after intravenous injection of contrast when compared with the increased contrast of the spleen. This finding provided the indication for angiography. This confirmed the diagnosis of acute occlusion and made appropriate treatment possible.
本文报告一例产后肝动脉急性血栓形成伴肝梗死的病例。预后取决于梗阻部位、侧支循环的早期形成以及门静脉对血供的贡献。肝梗死的诊断通过计算机断层扫描做出。其特征为边界清晰的低密度区，增强扫描无强化。一个重要线索是静脉注射造影剂后肝脏密度未增加，而脾脏造影剂增强。这一发现为血管造影提供了指征。血管造影证实了急性闭塞的诊断并使适当治疗成为可能。
