Shigemura T, Yamamoto F, Shilpakar S K, Kojima T, Yamamoto S, Pu Y
Yamamoto Surgical Hospital, Saga, Japan.
Abdom Imaging. 1995 May-Jun;20(3):211-3. doi: 10.1007/BF00200396.
The magnetic resonance imaging (MRI) differential diagnosis of intrahepatic biloma from intrahepatic subacute hematoma has been reported in two cases. The biloma was heterogenously intense on T1-weighted images and homogenously hyperintense on T2-weighted images. The hematoma was hyperintense on the both T1- and T2-weighted MR images. The clinical significance of this MRI difference is that intrahepatic biloma needs drainage, whereas intrahepatic hematoma can heal spontaneously.
已有两例报告了磁共振成像（MRI）对肝内胆汁瘤与肝内亚急性血肿的鉴别诊断。胆汁瘤在T1加权图像上呈不均匀高信号，在T2加权图像上呈均匀高信号。血肿在T1加权和T2加权磁共振图像上均为高信号。这种MRI差异的临床意义在于，肝内胆汁瘤需要引流，而肝内血肿可自行愈合。
