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Intern Med ; 53(19): 2215-21, 2014.
Article in English | MEDLINE | ID: mdl-25274233

ABSTRACT

Pancreatitis may induce a spectrum of venous and arterial vascular complications. However, hepatic infarction complicated with acute pancreatitis seldom occurs because of the unique vascular configuration of the liver. We herein describe an extremely rare and unique case in which simultaneous portal vein and hepatic vein thrombosis were present. We precisely assessed both hepatic hemodynamics and hepatocellular function using sequential multidetector computed tomography and gadoxetate disodium-enhanced magnetic resonance imaging, which may provide useful information on the pathophysiological state and diagnosis of hepatic infarction.


Subject(s)
Gadolinium DTPA , Image Enhancement , Infarction/diagnosis , Liver/blood supply , Magnetic Resonance Imaging/methods , Pancreatitis, Acute Necrotizing/complications , Aged , Budd-Chiari Syndrome/complications , Budd-Chiari Syndrome/diagnosis , Contrast Media , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Infarction/etiology , Multidetector Computed Tomography , Pancreatitis, Acute Necrotizing/diagnosis , Reproducibility of Results , Retrospective Studies
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