Absent uptake on hepatobiliary scintigraphy in hepatic lobar infarction from portal vein occlusion in cholangiocarcinoma.
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.
Donnelly
L F
LF
Department of Radiology, Children's Hospital Medical Center, University of Cincinnati Hospital, OH 45229-3039.
Nishiyama
H
H
Milstein
M S
MS
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