哭泣的肝脏:一种模拟自发胆管穿孔的扫描模式。

IF 0.6 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

NUCLEAR MEDICINE REVIEW Pub Date : 2022-01-01 DOI:10.5603/NMR.a2022.0028

Somaye Barashki, Hadis Mohammadzadeh Kosari, Emran Askari, Zahra Bakhshi Golestani, Mehran Hiradfar, Ramin Sadeghi

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引用次数: 0

摘要

一个2个月大的婴儿因不明原因的腹水而接受肝胆造影检查。最重要的鉴别诊断是自发性胆管穿孔。延迟4小时的图像显示放射性示踪剂在整个肠道内的正常分布与此诊断相反。然而，在延迟图像上，扫描显示SPECT/CT图像证实腹水中有轻微的示踪剂潴留。令人惊讶的是，腹部探查手术显示一个完整的肝胆系统，指向其他可能的病因。由于无法控制的进展性腹水显示充血性肝病和肝表面胆道泄漏提示“哭泣的肝”，进行了二次复查手术。

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A crying liver: a scan pattern mimicking spontaneous perforation of the biliary ducts.

A 2-month-old infant was referred for hepatobiliary scintigraphy due to ascites of unknown cause. The top differential diagnosis was spontaneous perforation of the biliary ducts. Delayed images up to 4 hours were against this diagnosis showing normal distribution of the radiotracer throughout the bowel. However, on delayed images, the scan showed mild tracer retention in the ascites confirmed by SPECT/CT images. Surprisingly, the exploratory abdominal surgery revealed an intact hepatobiliary system, pointing toward other possible etiologies. Second-review surgery was performed due to uncontrolled progressive ascites showing congestive hepatopathy and biliary leak from the hepatic surface suggestive of the "crying liver".

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来源期刊

NUCLEAR MEDICINE REVIEW RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： Written in English, NMR is a biannual international periodical of scientific and educational profile. It is a journal of Bulgarian, Czech, Hungarian, Macedonian, Polish, Romanian, Russian, Slovak, Ukrainian and Yugoslav Societies of Nuclear Medicine. The periodical focuses on all nuclear medicine topics (diagnostics as well as therapy), and presents original experimental scientific papers, reviews, case studies, letters also news about symposia and congresses. NMR is indexed at Index Copernicus (7.41), Scopus, EMBASE, Index Medicus/Medline, Ministry of Education 2007 (4 pts.).