title: Absent uptake on hepatobiliary scintigraphy in hepatic lobar infarction from portal vein occlusion in cholangiocarcinoma.
abstract: Hepatic infarction is an uncommon entity because of the dual blood supply to the liver. We report a case in which multimodalities demonstrate infarction of the left lobe of the liver secondary to left portal vein occlusion by an invasive cholangiocarcinoma. A 99mTc-DISIDA hepatobiliary scan showed complete absence of activity to the left of the gallbladder fossa. The differential diagnosis of absent hepatic activity on a hepatobiliary scan must include hepatic infarction.
authors.affiliation: Department of Radiology, Children's Hospital Medical Center, University of Cincinnati Hospital, OH 45229-3039.
authors.forename: L F
authors.initials: LF
authors.lastname: Donnelly
authors.forename: H
authors.initials: H
authors.lastname: Nishiyama
authors.forename: M S
authors.initials: MS
authors.lastname: Milstein
mesh_terms: D000328:Adult; D001650:Bile Duct Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging*; D018281:Cholangiocarcinoma / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D008099:Liver / Q000098:blood supply* / Q000000981:diagnostic imaging; D008102:Liver Circulation; D008297:Male; D011169:Portal Vein; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed