keyword
https://read.qxmd.com/read/38466885/intraoperative-indocyanine-green-fluorescence-imaging-to-predict-early-hepatic-arterial-complications-after-liver-transplantation
#1
JOURNAL ARTICLE
Muga Terasawa, Hiroshi Imamura, Marc Antoine Allard, Daniel Pietrasz, Oriana Ciacio, Gabriella Pittau, Chady Salloum, Antonio Sa Cunha, Daniel Cherqui, René Adam, Daniel Azoulay, Akio Saiura, Eric Vibert, Nicolas Golse
PURPOSE: In liver transplantation (LT) setting, to propose an innovative intraoperative criterion to judge arterial flow abnormality that may lead to early hepatic arterial occlusion, i.e. thrombosis or stenosis, when left untreated and to carry out re-anastomosis. PATIENTS AND METHODS: After liver graft implantation, and after ensuring that there is no abnormality on the Doppler ultrasound (qualitative and quantitative assessment), we intraoperatively injected indocyanine green dye (ICG, 0...
March 7, 2024: Liver Transplantation
https://read.qxmd.com/read/38391055/prevalence-of-hepatic-steatosis-and-fibrosis-in-turner-syndrome-a-prospective-case-control-study
#2
JOURNAL ARTICLE
Patrick Twohig, Ling Li, David Danford, Mary Craft, Anji T Yetman
BACKGROUND AND AIMS: Abnormal liver chemistries are common in Turner syndrome (TS). Guidelines suggest that TS patients undergo annual screening of liver enzymes, but the role of non-invasive screening for steatosis and fibrosis is not clearly defined. We compared the prevalence of hepatic steatosis and fibrosis among TS patients to healthy controls using ultrasound with shear-wave elastography (SWE) and assessed for risk factors associated with steatosis and fibrosis in TS. METHODS: Prospective case-control study of TS versus control patients from 2019 to 2021...
February 23, 2024: Liver International: Official Journal of the International Association for the Study of the Liver
https://read.qxmd.com/read/38374662/hepatic-artery-vasospasm-masquerading-as-early-hepatic-artery-thrombosis-in-progressive-familial-intrahepatic-cholestasis-3-a-case-report
#3
Divij Jayant, Swapnesh Sahu, Basil Babu, Cherring Tandup, Arunanshu Behera
Post-liver transplant (LT) hepatic artery vasospasm is a vascular complication that is not well recognized and its incidence is not known. As a possible sequela to vasospasm, hepatic artery thrombosis is the second major cause of allograft failure after primary nonfunction and its reported incidence is 2.9% in adults and 8.3% in pediatric LT. Lacuna in knowledge regarding early hepatic artery vasospasm post-LT makes it a difficult condition to diagnose and treat, as the initial ischemic insult on graft can have devastating consequences...
February 20, 2024: Korean journal of transplantation
https://read.qxmd.com/read/38337860/fibrosis-progression-in-patients-with-budd-chiari-syndrome-and-transjugular-intrahepatic-portosystemic-shunt-tips-a-long-term-study-using-transient-elastography
#4
JOURNAL ARTICLE
Martin Rössle, Dominik Bettinger, Lukas Sturm, Marlene Reincke, Robert Thimme, Michael Schultheiss
Hepatic vein outflow obstruction causes congestion of the liver, leading to necrosis, fibrosis, and portal hypertension (PH). A transjugular intrahepatic portosystemic shunt (TIPS) reduces congestion and PH by providing artificial outflow. The aim of the study was to investigate fibrosis progression in patients with Budd-Chiari syndrome (BCS) and TIPS using transient elastography (TE). From 2010 to 2022, 25 patients received 80 TEs using FibroScan® , Echosens, Paris, France (3.2 ± 2.1 per patient)...
February 5, 2024: Diagnostics
https://read.qxmd.com/read/38222739/a-glimpse-into-multimodal-neuromonitoring-in-acute-liver-failure-a-case-report
#5
Stefano Zorzi, Amanda Ayako Minemura Ordinola, Eduardo Cunha De Souza Lima, Gabriela Martins Teixeira, Michele Salvagno, Elda Diletta Sterchele, Fabio Silvio Taccone
INTRODUCTION: Acute liver failure (ALF) is a rapidly progressing, life-threatening syndrome characterized by liver-related coagulopathy and hepatic encephalopathy (HE). Given that higher HE grades correlate with poorer outcomes, clinical management of ALF necessitates close neurological monitoring. The primary objective of this case report is to highlight the diagnostic value of utilizing multimodal neuromonitoring (MNM) in a patient suffering from ALF. CASE REPORT: A 56-year-old male patient with a history of chronic alcoholism, without prior chronic liver disease, and recent acetaminophen use was admitted to the hospital due to fatigue and presenting with a mild flapping tremor...
January 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/37789993/beaver-tail-liver-a-rare-anatomic-variant
#6
Sonia Kapoor, Timothy Williams, Michael Ea, Alejandro Biglione
Beaver tail liver is a rare hepatic anatomical variant in which the left hepatic lobe extends into the left upper quadrant and surrounds the spleen. This extension of the left hepatic lobe consists of normal hepatic parenchyma with no functional liver impairment. In trauma cases, however, the extended left hepatic lobe is vulnerable to injury and confused for a splenic injury due to similar echogenicities and densities on ultrasound and CT. It is also misdiagnosed as a splenic subcapsular hematoma, perisplenic hemorrhage, or mass...
September 2023: Curēus
https://read.qxmd.com/read/37620840/hepatic-adenoma-in-a-7-year-old-girl-a-case-report-and-literature-review
#7
JOURNAL ARTICLE
Yan Gao, Jun Zhou, Yu-Cheng Xie, Li-Juan Qiu, Ling Duan, Zhi-Xiang A, Hong-Fang Wu, Meng-Xing Lv
BACKGROUND: Hepatocellular adenomas (HCAs) are rare benign tumors of the liver that occur predominantly in women taking oral contraceptives. In children, HCAs comprise < 5% of hepatic tumors. We report a case of HCAs in a 7-year-old girl with estrogen and glucose imbalance. CASE PRESENTATION: A 7-year-old girl was presented to our hospital with bilateral breast enlargement for 2 months, polydipsia, polyuria, polyphagia, hyperglycemia, and significant weight gain...
August 24, 2023: BMC Pediatrics
https://read.qxmd.com/read/37451951/an-optimal-prognostic-model-based-on-multiparameter-ultrasound-for-acute-on-chronic-liver-failure
#8
JOURNAL ARTICLE
Lili Wu, Yuankai Wu, Jieyang Jin, Xinhua Li, Nanxiang Zhang, Yusheng Jie, Rongqin Zheng, Yutian Chong, Jie Ren
OBJECTIVE: Acute-on-chronic liver failure (ACLF) is associated with a considerably high mortality, and accurate prognosis prediction is critical to navigate intervention decisions and improve clinical outcomes. The objective of this study was to establish a better prognostic model for ACLF based on multiparameter ultrasound in combination with clinical features. METHODS: A total of 149 patients with ACLF were prospectively enrolled and underwent conventional ultrasound, 2-D shear wave elastography (SWE), attenuation imaging, color Doppler sonography, superb microvascular imaging and contrast-enhanced ultrasound (CEUS)...
July 12, 2023: Ultrasound in Medicine & Biology
https://read.qxmd.com/read/37334323/congenital-extrahepatic-portosystemic-shunt-with-hypoplasia-of-the-intrahepatic-inferior-vena-cava-a-rare-case-report
#9
Tesfahunegn Hailemariam, Endalew Demilew, Tsegahun Manyazewal, Samuel Sisay
Congenital portosystemic shunt (CPS) is a rare vascular anomaly resulting in diversion of splanchnic or portal blood into the systemic circulation. Other vascular malformations associated with this entity are uncommon. A 4-year-old female child with a diagnosis of acute viral hepatitis had an incidental finding of extrahepatic CPS on a Doppler abdominal ultrasound. Contrast-enhanced computed tomography showed a dilated portal vein having H-type side-to-side communication with a hypoplastic intrahepatic portion of the inferior vena cava and a prominent dilated azygos vein...
August 2023: Radiology Case Reports
https://read.qxmd.com/read/37305137/hepatic-and-portal-vein-doppler-ultrasounds-in-assessing-liver-inflammation-and-fibrosis-in-chronic-hbv-infection-with-a-normal-alt-level
#10
JOURNAL ARTICLE
Li Tian, Shuyao Tang, Na Wang, Huan Deng, Qunxia Zhang, Tongdong Shi
AIMS: To discuss the clinical value of hepatic and portal vein Doppler ultrasounds in assessing liver inflammation and fibrosis in patients with chronic hepatitis B virus (HBV) infection, and a normal alanine transaminase (ALT) level. METHODS: 94 patients with chronic HBV infections who had undergone ultrasound-guided liver biopsies were enrolled and grouped by the liver tissue pathological results. Analyzed the differences and correlation between parameters of the hepatic and portal vein Doppler ultrasounds are discussed across different degrees of liver inflammation and fibrosis...
2023: Frontiers in Medicine
https://read.qxmd.com/read/37291909/life-threatening-variceal-bleeding-after-liver-transplantation-and-extensive-portal-vein-thrombosis-desperate-times-call-for-desperate-measures
#11
AndréMoreira de Assis, José Andrade de Carvalho Melo, Willian Yoshinori Kawakami, Airton Mota Moreira, Francisco Cesar Carnevale, Hayashi Massami, Adriana Porta Miche Hirschfeld, Renata Pereira Sustovich Pugliese, Flavia Krepel Foronda, Ricardo Gorgulho Paulino, André Augusto de Araújo, Eduardo Antunes Fonseca, João Seda Neto
BACKGROUND: The management of complex, intra- and extrahepatic portal vein thrombosis (PVT) after liver transplantation (LT) is challenging. Although most of the patients remain asymptomatic or oligosymptomatic in the chronic setting, some of them may develop severe portal hypertension and related complications, notably gastrointestinal (GI) bleeding. In the emergency scenario, clinical and endoscopic treatments as well as intensive support constitute the bases of conservative management, while more definitive treatment options such as surgical shunting and retransplantation are related to high morbidity rates...
June 8, 2023: Pediatric Transplantation
https://read.qxmd.com/read/37213279/case-report-early-detection-and-intervention-of-congenital-portosystemic-shunts-in-children
#12
Ying Zhang, Tianzhuo Yu, Yanhong Mi, Wenzhi Zhang, Gaoyi Yang
Congenital portosystemic shunts (CPSS) are rare vascular anomalies that cause abnormal communications between the portal and systemic venous systems and may be incidentally detected on imaging or via abnormal laboratory parameters due to the lack of specificity in the condition's clinical presentation. Ultrasound (US) is a common tool for examining abdominal solid organs and vessels and is the initial imaging modality for diagnosing CPSS. Here we report the case of an 8-year-old Chinese boy with CPSS diagnosed using color Doppler US...
2023: Frontiers in Oncology
https://read.qxmd.com/read/37144228/hepatic-artery-and-portal-vein-doppler-ultrasound-reference-values-in-children-aged-0-17%C3%A2-years-old
#13
JOURNAL ARTICLE
Martijn V Verhagen, Thomas C Kwee, Robbert J de Haas
INTRODUCTION: Doppler ultrasound of the portal vein peak systolic velocity and hepatic artery peak systolic velocity and resistive index in children is often performed during abdominal ultrasound for the assessment of liver and other abdominal pathology. However, evidence-based reference values are not available. We aimed to determine these reference values and to investigate whether they are age-dependent. METHODS: Children who underwent abdominal ultrasound between 2020 and 2021 were retrospectively identified...
May 2023: Ultrasound: Journal of the British Medical Ultrasound Society
https://read.qxmd.com/read/36930263/doppler-ultrasound-reference-values-after-pediatric-liver-transplantation-a-consecutive-cohort-study
#14
JOURNAL ARTICLE
Martijn V Verhagen, Ruben H de Kleine, Henk Groen, Hubert P J van der Doef, Thomas C Kwee, Robbert J de Haas
OBJECTIVES: Doppler ultrasound (DUS) is the main imaging modality to evaluate vascular complications of pediatric liver transplants (LT). The current study aimed to determine reference values and their change over time. METHODS: A consecutive cohort of pediatric patients undergoing an LT were retrospectively included between 2015 and 2020. Timepoints for standardized DUS were intra-operative and postoperative (day 0), days 1-7, months 1 and 3, and years 1 and 2...
March 17, 2023: European Radiology
https://read.qxmd.com/read/36754099/ultrasound-imaging-of-the-superior-vena-cava-a-state-of-the-art-review
#15
REVIEW
Bahaa M Fadel, Bahaa Kazzi, Dania Mohty
Greater interest in imaging the superior vena cava (SVC) in recent years has arisen because of increased focus on disorders of the right heart; the growing use of transvenous access lines, dialysis catheters, and device leads; and the emergence of right ventricular mechanical circulatory support systems via the transcatheter approach. As a low-pressure venous conduit in the right upper mediastinum, the SVC is prone to compression by various pathologic processes, to invasion by malignancies originating in nearby structures, and to complications arising from intraluminal device leads and indwelling catheters...
May 2023: Journal of the American Society of Echocardiography
https://read.qxmd.com/read/36569677/the-incidence-of-the-agenesis-of-fetal-ductus-venosus-at-the-11-13-weeks-ultrasound-examination
#16
JOURNAL ARTICLE
Athena Souka, Panagiotis Antsaklis, Konstantinos Tasias, Zacharias Fasoulakis, George Daskalakis
OBJECTIVE: The objective is to examine the incidence of agenesis of fetal ductus venosus (DV) at the routine ultrasound examination at 11-13 weeks. MATERIALS AND METHODS: This is a retrospective study on women presenting for screening for chromosomal abnormalities. The fetal DV was routinely examined by color Doppler in the sagittal view. RESULTS: Out of 8,304 fetuses examined, there were 13 cases of DV agenesis (0.15%). The umbilical vein drainage was intra-hepatic in two-thirds of the cases, and all resulted in normal live births...
November 2022: Curēus
https://read.qxmd.com/read/36484036/triplex-sonographic-evaluation-of-portal-vein-indices-among-adults-in-port-harcourt-nigeria
#17
JOURNAL ARTICLE
Gbenga Jacob Aderibigbe, Chukwuemeka Agi, Ebbi Donald Robinson
BACKGROUND: Chronic liver disease is characterized by progressive hepatic fibrosis and changes in hepatic vascular hemodynamics. Sonography is a readily available tool in the assessment of the hepatic hemodynamic alterations that occur in chronic liver diseases. AIM: This study was aimed at sonographically determining the portal vein indices in apparently healthy adults by estimating the portal vein diameter, cross-sectional area, and portal vein velocity. METHODS: This was a prospective, cross-sectional study carried out among 62 apparently healthy individuals...
2022: Journal of Medical Ultrasound
https://read.qxmd.com/read/36388625/diagnostic-value-of-color-doppler-ultrasound-and-contrast-enhanced-ultrasound-in-the-artery-steal-syndrome-after-orthotopic-liver-transplantation
#18
JOURNAL ARTICLE
Wei Li, Nong Gao, Yi-Peng Pan, Xiu-Yun Ren
PURPOSE: This study aimed to investigate the application of color Doppler ultrasound (CDU) and contrast-enhanced ultrasound (CEU) in the early diagnosis of arterial steal syndrome (ASS) after orthotopic liver transplantation (OLT). PATIENTS AND METHODS: A total of 1827 patients received OLT in our department between January 2007 and December 2021, and CDU and CEU were performed after surgery. Ultrasonographic data were collected and further analyzed. ASS was confirmed by digital subtraction angiography (DSA), and the use of splenic artery embolization was dependent on the DSA findings and clinical conditions...
2022: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/36164214/ct-282-case-report-successful-management-of-severe-veno-occlusive-disease-after-allogeneic-stem-cell-transplantation-using-a-transjugular-intrahepatic-portosystemic-shunt
#19
JOURNAL ARTICLE
Nour A Haidar, Jean-Henri Bourhis
Veno-occlusive disease (VOD), also called sinusoidal obstruction syndrome (VOD/SOS), of the liver is a complication of allogeneic bone marrow or peripheral stem cell transplantation and is known to be an unpredictable, life-threatening complication with high mortality. We report here a case of a 24-year-old male patient who was diagnosed in 2019 at Gustave Roussy institute with AML. The patient was treated with the AML protocol 3+7 in December 2019 with a complete cytologic response and a positive MRD. Leukemia relapse was observed in September 2020, treated by gemtuzumab ozogomycin and cytarabine with a negative MRD...
October 2022: Clinical Lymphoma, Myeloma & Leukemia
https://read.qxmd.com/read/36086679/ultrasonographic-misdiagnosis-of-multicystic-mesothelioma-of-the-omentum-a-case-report
#20
JOURNAL ARTICLE
Yuhong Diao, Li Chen, Zhixing Liu
RATIONALE: Multicystic Mesothelioma (MM) is very rare and preoperative diagnosis is difficult. PATIENT CONCERNS: We report a case of a 34-year-old man with solid abdominal cystic echo mass. Physical examination showed that the patient had a flat and soft abdomen without tenderness or rebound pain, no fluid wave tremor, and no obvious abdominal mass was touched. The patient complained of repeated abdominal distention with nausea for 5 days. Sonographic examination suspected pseudomyxoma peritoneum...
September 9, 2022: Medicine (Baltimore)
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