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Changes in intrahepatic portal hemodynamic in early stage hepatic abscesses.
Author(s) -
Lin Z Y,
Wang J H,
Wang L Y,
Lu S N,
Chen S C,
Chuang W L,
Hsieh M Y,
Tsai J F,
Chang W Y
Publication year - 1996
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.1996.15.8.595
Subject(s) - medicine , stage (stratigraphy) , hemodynamics , differential diagnosis , radiology , liver abscess , color doppler , hepatic abscess , portal hypertension , abscess , pathology , surgery , ultrasonography , cirrhosis , paleontology , biology
Color Doppler sonography was used to investigate the changes in intrahepatic portal hemodynamics in early stage hepatic abscesses (21 lesions). At time of patients' admission, 10 lesions measuring over 6 cm showed reverse flow from at least one of their corresponding segmental portal branches, but 11 lesions measuring 6 cm or less did not show this phenomenon. All portal branches with reverse flow eventually returned to a normal direction of flow after successful medication. In conclusion, a large early stage hepatic abscess may show temporary reverse portal flow on color imaging. Thus, a differential diagnosis of hepatic tumors with reverse portal flow should include early stage hepatic abscesses.