Multiple infarcted regenerative nodules in liver cirrhosis after systemic hypotension due to septic shock: radiologic findings.
We describe a case of multiple infarcted regenerative nodules in a patient with advanced liver cirrhosis who had experienced an episode of septic shock. Sonography showed multiple hypoechoic or isoechoic nodules; contrast-enhanced computed tomography showed multiple, low-attenuating nodules with rim enhancement; and magnetic resonance imaging showed multiple nodules of low, iso-, or high signal intensity. Explanted liver showed coagulation necrosis of multiple regenerative nodules. Peribiliary cysts in chronic liver diseases, liver abscesses, spontaneous necrosis of hepatocellular carcinomas, and metastasis should be differentiated.
Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul 135-710, Korea.
E
E
Kim
D
D
Choi
H K
HK
Lim
J H
JH
Lim
D000328:Adult; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D008103:Liver Cirrhosis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D008111:Liver Function Tests; D016031:Liver Transplantation; D008279:Magnetic Resonance Imaging; D009336:Necrosis; D012772:Shock, Septic / Q000150:complications*; D014057:Tomography, X-Ray Computed