Ngan H, James K W
Br J Radiol. 1978 Oct;51(610):788-92. doi: 10.1259/0007-1285-51-610-788.
Lymphograms of 1,000 patients were reviewed with special reference to the occurrence of hepatic oil embolism following the procedure. Oily contrast medium ("Lipiodol" ultra-fluid) was found in the liver in seven cases, five of whom had carcinoma of the cervix uteri. Hepatic oil embolism was not encountered in patients with lymphomas in this series. Complete or partial lymphatic obstruction was present in all seven cases and one patient had almost complete obstruction of the inferior vena cava. Malignant disease need not always be the predisposing factor since hepatic oil embolism occurred in one patient with retroperitoneal fibrosis. The routes through which the contrast medium may reach the liver are discussed and lymphaticoportal communications in the mesentery are thought to play an important role. Contrast was invariably seen in the liver within two hours of commencement of the injection and was still faintly visible in one case three and a half months later. The way in which the contrast-pattern in the liver changes with time is described. An attempt is made to correlate the radiological appearances with the fate of the contrast medium in the liver.
回顾了1000例患者的淋巴造影，特别关注该操作后肝油栓塞的发生情况。在7例患者的肝脏中发现了油性造影剂（“超液态碘化油”），其中5例患有子宫颈癌。在该系列淋巴瘤患者中未发现肝油栓塞。所有7例患者均存在完全或部分淋巴管阻塞，1例患者下腔静脉几乎完全阻塞。恶性疾病不一定总是诱发因素，因为1例腹膜后纤维化患者发生了肝油栓塞。讨论了造影剂到达肝脏的途径，认为肠系膜中的淋巴门静脉交通起重要作用。注射开始后两小时内肝脏中总是能看到造影剂，1例患者在三个半月后仍能隐约看到。描述了肝脏中造影剂模式随时间的变化方式。试图将放射学表现与肝脏中造影剂的转归相关联。
