HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Abstract Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Vilgrain, V. Articles by Valla, D. C. Search for Related Content PubMed PubMed Citation Articles by Vilgrain, V. Articles by Valla, D. C.

Atrophy-Hypertrophy Complex in Patients with Cavernous Transformation of the Portal Vein: CT Evaluation¹

¹ From the Departments of Radiology and INSERM Unité 773 CRB3 (V.V., A.H.), Hepatology and INSERM Unité 773 CRB3 (B.C., A.P., D.C.V.), and Anatomic Radiology (D.C.), Assistance Publique des Hôpitaux de Paris (APHP), Hôpital Beaujon, 100 bld Général Leclerc, 92110 Clichy, France; and Department of Hepatogastroenterology, Fédération Digestive, CHU Purpan, Toulouse, France (C.B.). Received July 2, 2005; revision requested September 2; revision received September 12; accepted October 14; final version accepted January 9, 2006. Address correspondence to V.V. (e-mail: valerie.vilgrain{at}bjn.ap-hop-paris.fr).

View larger version (122K): [in this window] [in a new window] [Download PPT slide]   Figure 1a: CTPV in 53-year-old man. Transverse portal venous phase helical CT images (craniocaudal sections) obtained at the confluence of the hepatic veins (a) and at the levels immediately above the hilum, at the hilum, and immediately below the hilum (b–d) show morphologic changes in the liver: hypertrophy of segment IV (4) and the caudate lobe and atrophy of the left and right lobes. Intrahepatic bile ducts are dilated. The common bile duct is surrounded by the CTPV (arrow in d). Signs of portal hypertension—splenomegaly and portosystemic collateral vessels—are evident.

View larger version (137K): [in this window] [in a new window] [Download PPT slide]   Figure 1b: CTPV in 53-year-old man. Transverse portal venous phase helical CT images (craniocaudal sections) obtained at the confluence of the hepatic veins (a) and at the levels immediately above the hilum, at the hilum, and immediately below the hilum (b–d) show morphologic changes in the liver: hypertrophy of segment IV (4) and the caudate lobe and atrophy of the left and right lobes. Intrahepatic bile ducts are dilated. The common bile duct is surrounded by the CTPV (arrow in d). Signs of portal hypertension—splenomegaly and portosystemic collateral vessels—are evident.

View larger version (140K): [in this window] [in a new window] [Download PPT slide]   Figure 1c: CTPV in 53-year-old man. Transverse portal venous phase helical CT images (craniocaudal sections) obtained at the confluence of the hepatic veins (a) and at the levels immediately above the hilum, at the hilum, and immediately below the hilum (b–d) show morphologic changes in the liver: hypertrophy of segment IV (4) and the caudate lobe and atrophy of the left and right lobes. Intrahepatic bile ducts are dilated. The common bile duct is surrounded by the CTPV (arrow in d). Signs of portal hypertension—splenomegaly and portosystemic collateral vessels—are evident.

View larger version (144K): [in this window] [in a new window] [Download PPT slide]   Figure 1d: CTPV in 53-year-old man. Transverse portal venous phase helical CT images (craniocaudal sections) obtained at the confluence of the hepatic veins (a) and at the levels immediately above the hilum, at the hilum, and immediately below the hilum (b–d) show morphologic changes in the liver: hypertrophy of segment IV (4) and the caudate lobe and atrophy of the left and right lobes. Intrahepatic bile ducts are dilated. The common bile duct is surrounded by the CTPV (arrow in d). Signs of portal hypertension—splenomegaly and portosystemic collateral vessels—are evident.

View larger version (177K): [in this window] [in a new window] [Download PPT slide]   Figure 2a: CTPV in 70-year-old woman. (a) Transverse portal venous phase helical CT image shows morphologic changes in the liver: CTPV (arrow) and hypertrophy of segment IV and the caudate lobe. (b, c) On arterial dominant (b) and portal venous phase (c) helical CT images obtained 16 months earlier, at the time of acute portal vein thrombosis, the morphologic changes in the liver were not seen. The transverse diameter of segment IV increased from 31 to 42 mm.

View larger version (153K): [in this window] [in a new window] [Download PPT slide]   Figure 2b: CTPV in 70-year-old woman. (a) Transverse portal venous phase helical CT image shows morphologic changes in the liver: CTPV (arrow) and hypertrophy of segment IV and the caudate lobe. (b, c) On arterial dominant (b) and portal venous phase (c) helical CT images obtained 16 months earlier, at the time of acute portal vein thrombosis, the morphologic changes in the liver were not seen. The transverse diameter of segment IV increased from 31 to 42 mm.

View larger version (146K): [in this window] [in a new window] [Download PPT slide]   Figure 2c: CTPV in 70-year-old woman. (a) Transverse portal venous phase helical CT image shows morphologic changes in the liver: CTPV (arrow) and hypertrophy of segment IV and the caudate lobe. (b, c) On arterial dominant (b) and portal venous phase (c) helical CT images obtained 16 months earlier, at the time of acute portal vein thrombosis, the morphologic changes in the liver were not seen. The transverse diameter of segment IV increased from 31 to 42 mm.