Pseudo hepatic vein thrombosis in a newborn with infracardiac total anomalous pulmonary venous connection.

IF 2.1 3区医学 Q2 PEDIATRICS

Pediatric Radiology Pub Date : 2024-11-01 DOI:10.1007/s00247-024-06077-2

Romina DSouza, Subin Kuruvilla Thomas, Karnkawin Patharateeranart, Mike Seed, Christopher Z Lam, Shi-Joon Yoo

引用次数: 0

Abstract

We report an interesting incidental liver finding during ECG-gated cardiac computed tomography (CT) in a newborn with infracardiac total anomalous pulmonary venous connection to the portal vein. This case shows a unique abnormality in hepatic perfusion that was initially mistaken for hepatic vein thrombosis. We review the altered hepatic blood flow distribution in this pathologic anatomy to help explain the observed hepatic perfusion abnormality on CT. This understanding will enable an imager to anticipate hepatic perfusion patterns in similar patients, potentially avoiding misdiagnosis and unnecessary further testing.

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心下肺静脉连接完全异常的新生儿假性肝静脉血栓形成。

我们报告了一名患有心下肺静脉与门静脉连接完全异常的新生儿在进行心电图门控心脏计算机断层扫描（CT）时偶然发现的有趣肝脏病变。该病例显示了一种独特的肝灌注异常，最初被误认为是肝静脉血栓形成。我们回顾了这种病理解剖中肝脏血流分布的改变，以帮助解释 CT 上观察到的肝脏灌注异常。这种理解将使成像师能够预测类似患者的肝脏灌注模式，从而避免误诊和不必要的进一步检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Radiology 医学-核医学

CiteScore

4.40

自引率

17.40%

发文量

300

审稿时长

3-6 weeks

期刊介绍： Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.