Computed tomography findings of hepatic veno-occlusive disease caused by Sedum aizoon with histopathological correlation
Braz. j. med. biol. res
; 48(12): 1145-1150, Dec. 2015. tab, graf
Article
in English
| LILACS
| ID: lil-762921
Responsible library:
BR1.1
ABSTRACT
This study investigated the value of computed tomography (CT) in the diagnosis and treatment of hepatic veno-occlusive disease (HVOD) caused by Sedum aizoon (SA). The clinical manifestations, treatment results, imaging findings, and histological findings of the liver were analyzed in 39 patients with HVOD caused by SA. Hepatomegaly, liver dysfunction, abdominal effusion, and geographic density changes on liver CT scans were found in all 39 patients. The pathological findings of histological liver examination included swelling and point-like necrosis of liver cells, significant expansion and congestion of the sinuses, endothelial swelling, and wall thickening with incomplete lumen occlusion of small liver vessels. CT geographic density changes were confirmed by histological examination of the liver in 18 patients. Sixteen patients with small amounts of ascites that started within 4 weeks of treatment recovered completely or significantly improved after symptomatic and supportive treatment. However, only 43.75% of the patients with larger amounts of ascites improved following symptomatic and supportive treatment. In conclusion, liver CT examination is a valuable, safe, and noninvasive tool for the diagnosis of HVOD caused by SA. In selected cases, liver CT examination may replace liver biopsy and histological analysis.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Hepatic Veno-Occlusive Disease
/
Drugs, Chinese Herbal
/
Sedum
/
Liver Circulation
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Braz. j. med. biol. res
Journal subject:
Biology
/
Medicine
Year:
2015
Document type:
Article
/
Project document
Affiliation country:
China
Institution/Affiliation country:
Taizhou Hospital Affiliated to Wenzhou Medical College/CN