Lobar and segmental liver atrophy associated with hilar cholangiocarcinoma and the impact of hilar biliary anatomical variants: a pictorial essay View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-05-26

AUTHORS

Brendon R. Friesen, Robert N. Gibson, Tony Speer, Janette M. Vincent, Damien Stella, Neil A. Collier

ABSTRACT

The radiological features of lobar and segmental liver atrophy and compensatory hypertrophy associated with biliary obstruction are important to recognise for diagnostic and therapeutic reasons. Atrophied lobes/segments reduce in volume and usually contain crowded dilated bile ducts extending close to the liver surface. There is often a "step" in the liver contour between the atrophied and non-atrophied parts. Hypertrophied right lobe or segments enlarge and show a prominently convex or "bulbous" visceral surface. The atrophied liver parenchyma may show lower attenuation on pre-contrast computed tomography (CT) and CT intravenous cholangiography (CT-IVC) and lower signal intensity on T1-weighted magnetic resonance imaging (MRI). Hilar biliary anatomical variants can have an impact on the patterns of lobar/segmental atrophy, as the cause of obstruction (e.g. cholangiocarcinoma) often commences in one branch, leading to atrophy in that drainage region before progressing to complete biliary obstruction and jaundice. Such variants are common and can result in unusual but explainable patterns of atrophy and hypertrophy. Examples of changes seen with and without hilar variants are presented that illustrate the radiological features of atrophy/hypertrophy. More... »

PAGES

525-531

References to SciGraph publications

  • 1990-07. Lobar and segmentai atrophy of the liver in WORLD JOURNAL OF SURGERY
  • 1992-12. Parenchymal changes of the liver in cholangiocarcinoma: CT evaluation in GASTROINTESTINAL RADIOLOGY
  • 2004-08-05. Anatomy of the portal branches and the hepatic veins in the caudate lobe of the liver in SURGICAL AND RADIOLOGIC ANATOMY
  • 1998-03. Lobar atrophy of the liver in ABDOMINAL RADIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s13244-011-0100-9

    DOI

    http://dx.doi.org/10.1007/s13244-011-0100-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1016281951

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/22347972


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