Silverstone E J, Blaquiere R M, Macdonald J S
Br J Radiol. 1984 Sep;57(682):779-83. doi: 10.1259/0007-1285-57-681-779.
Four instances of lymphography complicated by hepatic oil embolism are presented. The subsequent computerised tomography appearances can be misleading: the oily contrast medium mimics hepatic calcification and this may be mistakenly thought to indicate calcified hepatic metastases. The correct diagnosis will become apparent if a history of lymphography is sought, and it is important to realise that, even on conventional radiography, hepatic oily contrast medium may remain visible for several months. Computerised tomography is a much more sensitive indicator of the presence of oily contrast medium in the liver, so the absence of detectable oil on conventional radiography is unhelpful. The mechanisms which are thought to lead to hepatic oil embolism are discussed because recognition of the circumstances leading to hepatic oil embolism and appreciation of the associated findings will provide further clues to the correct diagnosis.
本文介绍了4例淋巴管造影并发肝油栓塞的病例。随后的计算机断层扫描表现可能会产生误导：油性造影剂类似肝钙化，这可能会被错误地认为提示肝转移钙化。如果询问淋巴管造影病史，正确的诊断就会变得明显，并且重要的是要认识到，即使在传统放射学检查中，肝内油性造影剂也可能在数月内仍可见。计算机断层扫描是肝脏中油性造影剂存在的更敏感指标，因此传统放射学检查未检测到油并无帮助。文中讨论了被认为导致肝油栓塞的机制，因为认识到导致肝油栓塞的情况并了解相关发现将为正确诊断提供进一步线索。
