Liver tissue perfusion: comparison of radiologic and isotope clearance techniques in a patient with portal hypertension.
A patient with portal hypertension was investigated preoperatively with splenoportography and found to have a large extrahepatic shunt through esophageal varices but poor portal perfusion of the liver. However, intraoperative measurement of the hepatic tissue perfusion using the krypton-85 clearance technique showed it to be essentially normal. Erroneous conclusions about actual hepatic perfusion may be made on the basis of findings on splenoportography alone.
D000368:Aged; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000503:physiopathology*; D007726:Krypton; D008102:Liver Circulation; D008297:Male; D008657:Metabolic Clearance Rate; D010477:Perfusion / Q000379:methods*; D011168:Portal System / Q000000981:diagnostic imaging; D011859:Radiography; D011868:Radioisotopes; D013154:Spleen / Q000000981:diagnostic imaging
D011868:Radioisotopes; D007726:Krypton