1.Hepatic Involvement in Hereditary Hemorrhagic Telangiectasia.
The Korean Journal of Hepatology 2004;10(4):322-324
No abstract available.
Adolescent
;
Humans
;
Liver Diseases/*complications/radiography
;
Male
;
Telangiectasia, Hereditary Hemorrhagic/*complications/radiography
2.seudolesion in Left Lobe of the Liver due to Superior Vena Cava Syndrome.
The Korean Journal of Hepatology 2004;10(3):237-239
No abstract available.
Aged
;
Female
;
Humans
;
Liver Diseases/etiology/*radiography
;
Superior Vena Cava Syndrome/*complications
3.Hepatic abscess mimicking hepatocellular carcinoma in a patient with alcoholic liver disease.
Jin Woong KIM ; Sang Soo SHIN ; Suk Hee HEO ; Hyo Soon LIM ; Young Hoe HUR ; Jo Heon KIM
Clinical and Molecular Hepatology 2013;19(4):431-434
No abstract available.
Aged
;
Antigens, Tumor-Associated, Carbohydrate/blood
;
Carcinoma, Hepatocellular/radiography
;
Humans
;
Liver Abscess/*complications/pathology/*radiography
;
Liver Diseases, Alcoholic/*complications/*pathology
;
Liver Neoplasms/radiography
;
Magnetic Resonance Imaging
;
Male
;
Tomography, X-Ray Computed
4.A Case of Hepatic Peribiliary Cysts in a Patient with Alcoholic Liver Cirrhosis.
Ji Young SEO ; Tae Hoon OH ; Tae Joo JEON ; Dong Dae SEO ; Won Chang SHIN ; Won Choong CHOI
The Korean Journal of Gastroenterology 2012;60(2):119-122
Hepatic peribiliary cysts (HPCs) are characterized by cystic dilatations of the peribiliary glands located throughout the branches of the biliary systems. Specifically, they are mainly located along the hepatic hilum and major portal tracts. The natural history and prognosis of HPCs are uncertain. In fact, almost all HPCs have been discovered incidentally during radiological examination or autopsy, and they are considered to be clinically harmless. Recently, several cases of HPCs associated with obstructive jaundice or liver failure were reported in patients with pre-existing liver disease in several studies. However, until now there have been no reports of such a case in Korea. Herein, we report a case of HPCs that show a disease course with a poor prognosis. These HPCs developed in a 47-year-old man with progressive alcoholic liver cirrhosis.
Bile Duct Diseases/complications/*diagnosis/radiography
;
Cholangiopancreatography, Magnetic Resonance
;
Cysts/*complications/radiography
;
Humans
;
Jaundice, Obstructive/etiology
;
Liver Cirrhosis, Alcoholic/complications/*diagnosis/radiography
;
Male
;
Middle Aged
;
Tomography, X-Ray Computed
5.Hepatogastric fistula caused by direct invasion of hepatocellular carcinoma after transarterial chemoembolization and radiotherapy.
Hana PARK ; Seung Up KIM ; Junjeong CHOI ; Jun Yong PARK ; Sang Hoon AHN ; Kwang Hyub HAN ; Chae Yoon CHON ; Young Nyun PARK ; Do Young KIM
The Korean Journal of Hepatology 2010;16(4):401-404
A 63-year-old man with a history of hepatitis-B-related hepatocellular carcinoma (HCC) in the left lateral portion of the liver received repeated transcatheter arterial chemoembolization (TACE) and salvage radiotherapy. Two months after completing radiotherapy, he presented with dysphagia, epigastric pain, and a protruding abdominal mass. Computed tomography showed that the bulging mass was directly invading the adjacent stomach. Endoscopy revealed a fistula from the HCC invading the stomach. Although the size of the mass had decreased with the drainage through the fistula, and his symptoms had gradually improved, he died of cancer-related bleeding and hepatic failure. This represents a case in which an HCC invaded the stomach and caused a hepatogastric fistula after repeated TACE and salvage radiotherapy.
Carcinoma, Hepatocellular/complications/radiography/*therapy
;
*Chemoembolization, Therapeutic
;
Drainage
;
Gastric Fistula/*etiology
;
Gastroscopy
;
Hepatitis B/diagnosis
;
Humans
;
Liver Diseases/*etiology
;
Liver Neoplasms/complications/radiography/*therapy
;
Male
;
Middle Aged
;
Neoplasm Invasiveness
;
Stomach/pathology
;
Tomography, X-Ray Computed
6.Management Strategy for Congenital Choledochal Cyst with Co-existing Intrahepatic Dilation and Aberrant Bile Duct As Well As Other Complicated Biliary Anomalies.
Qian DONG ; Buxian JIANG ; Hong ZHANG ; Zhong JIANG ; Hongting LU ; Chuanmin YANG ; Yu CHENG ; Xiwei HAO
Yonsei Medical Journal 2006;47(6):826-832
The purpose of this study was to investigate and discuss imaging methods and management strategies for congenital choledochal cyst with co-existing intrahepatic dilation and aberrant bile duct as well as other complicated biliary anomalies. In this study we reviewed and analyzed 72 patients with congenital choledochal cyst, ranging in age from 15 days to 12 years old and who were seen at our hospital during the past 12 years, from January 1993 to October 2005. The image manifestation and clinical significance of patients with co- xisting intrahepatic biliary dilation and aberrant bile duct were carefully examined during operation via MRCP, cholangiography and choledochoscope. Twenty-two cases (30.1%) presented with intrahepatic bile duct dilation and 12 of these were of the cystic type. That is, the orifice of the dilated intrahepatic tract that converged into the common hepatic duct showed membrane or septum-like stenosis. In 10 cases the dilation tapered off from the porta hepatis to the initiating terminals of the intra-hepatic bile ducts and was not accompanied by stenosis. An aberrant bile duct was observed in 2 of the cases. In 3 cases, the right and left hepatic ducts converged at the choledochal cyst. In conclusion, the imaging methods for intrahepatic bile duct dilation possess important clinical significance. Further, for hepatojejunostomy with radical excision of a choledochal cyst, additional operative procedures for intrahepatic stenosis, possible bile duct malformation and pancreaticobiliary common duct calculi can potentially reduce postoperative complications.
Tomography, X-Ray Computed
;
Postoperative Complications/ultrasonography
;
Male
;
Liver Diseases/complications/*radiography/surgery
;
Infant, Newborn
;
Infant
;
Humans
;
Female
;
Choledochal Cyst/complications/*radiography/surgery
;
Cholangiography
;
Child, Preschool
;
Child
;
Bile Ducts/*abnormalities/pathology/surgery
7.Management Strategy for Congenital Choledochal Cyst with Co-existing Intrahepatic Dilation and Aberrant Bile Duct As Well As Other Complicated Biliary Anomalies.
Qian DONG ; Buxian JIANG ; Hong ZHANG ; Zhong JIANG ; Hongting LU ; Chuanmin YANG ; Yu CHENG ; Xiwei HAO
Yonsei Medical Journal 2006;47(6):826-832
The purpose of this study was to investigate and discuss imaging methods and management strategies for congenital choledochal cyst with co-existing intrahepatic dilation and aberrant bile duct as well as other complicated biliary anomalies. In this study we reviewed and analyzed 72 patients with congenital choledochal cyst, ranging in age from 15 days to 12 years old and who were seen at our hospital during the past 12 years, from January 1993 to October 2005. The image manifestation and clinical significance of patients with co- xisting intrahepatic biliary dilation and aberrant bile duct were carefully examined during operation via MRCP, cholangiography and choledochoscope. Twenty-two cases (30.1%) presented with intrahepatic bile duct dilation and 12 of these were of the cystic type. That is, the orifice of the dilated intrahepatic tract that converged into the common hepatic duct showed membrane or septum-like stenosis. In 10 cases the dilation tapered off from the porta hepatis to the initiating terminals of the intra-hepatic bile ducts and was not accompanied by stenosis. An aberrant bile duct was observed in 2 of the cases. In 3 cases, the right and left hepatic ducts converged at the choledochal cyst. In conclusion, the imaging methods for intrahepatic bile duct dilation possess important clinical significance. Further, for hepatojejunostomy with radical excision of a choledochal cyst, additional operative procedures for intrahepatic stenosis, possible bile duct malformation and pancreaticobiliary common duct calculi can potentially reduce postoperative complications.
Tomography, X-Ray Computed
;
Postoperative Complications/ultrasonography
;
Male
;
Liver Diseases/complications/*radiography/surgery
;
Infant, Newborn
;
Infant
;
Humans
;
Female
;
Choledochal Cyst/complications/*radiography/surgery
;
Cholangiography
;
Child, Preschool
;
Child
;
Bile Ducts/*abnormalities/pathology/surgery
8.Hepatic myelopathy as a presenting neurological complication in patients with cirrhosis and spontaneous splenorenal shunt.
Ja Eun KOO ; Young Suk LIM ; Sun Jeong MYUNG ; Kyung Suk SUH ; Kang Mo KIM ; Han Chu LEE ; Young Hwa CHUNG ; Yung Sang LEE ; Dong Jin SUH
The Korean Journal of Hepatology 2008;14(1):89-96
Hepatic myelopathy is a rare complication of chronic liver disease that is associated with extensive portosystemic shunts. The main clinical feature of hepatic myelopathy is progressive spastic paraparesis in the absence of sensory or sphincter impairment. Early and accurate diagnosis of hepatic myelopathy is important because patients with early stages of the disease can fully recover following liver transplantation. Motor-evoked potential studies may be suitable for the early diagnosis of hepatic myelopathy, even in patients with preclinical stages of the disease. Here we describe two patients who presented with spastic paraparesis associated with a spontaneous splenorenal shunt and without any previous episode of hepatic encephalopathy. One patient experienced improved neurologic symptoms after liver transplantation, whereas the other patient only received medical treatment, which did not prevent the progression of spastic paraparesis.
Adult
;
Disease Progression
;
Evoked Potentials, Motor/physiology
;
Hepatitis B, Chronic/complications/diagnosis
;
Hepatitis C, Chronic/complications/diagnosis
;
Humans
;
Liver Cirrhosis/*complications/diagnosis
;
Liver Transplantation
;
Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Paraparesis, Spastic/etiology/pathology
;
Renal Veins/*radiography
;
Spinal Cord Diseases/*diagnosis/etiology/radiography
;
Splenic Vein/*radiography
;
Tomography, X-Ray Computed
;
Vascular Fistula/*radiography
9.A Case of Biliary Cast Syndrome after Cadaveric Liver Transplantation.
Chang Jin SEO ; Jin Tae JUNG ; Jimin HAN ; Ho Gak KIM ; Joo Hyoung LEE ; Sang Hun SUNG ; Woo Young CHOI ; Dong Lark CHOI
The Korean Journal of Gastroenterology 2007;49(2):106-109
We experienced one fatal case of biliary cast syndrome after cadaveric liver transplantation involving both intrahepatic ducts. A 58-year-old man underwent cadaveric liver transplantation because of hepatitis B virus related liver cirrhosis and concomitant hepatocellular carcinoma. Five weeks after the liver transplantation, postoperative course was complicated by development of acute cholangitis. Subsequent endoscopic retrograde cholangiography revealed diffuse intrahepatic bile duct strictures without filling defects. Percutaneous liver biopsy, which was done to exclude rejection, revealed biliary cast. Successful endoscopic removal was precluded due to its diffuse involvement. Because of the deterioration of patient's condition by refractory biliary obstruction and cholangitis, retransplantation from cadaveric donor was performed. Debridement of the biliary tree after graft removal yielded a near-complete cast of the intrahepatic ductal system. Biliary cast syndrome should be suspected when jaundice or cholangitis is associated with dilated ducts on abdominal imaging studies in cadaveric liver transplantation recipients. Initial therapeutic options include removal of biliary cast after endoscopic or percutaneous cholangiography. Although endoscopic retrieval of biliary cast by endoscopic retrograde cholangiopancreatography could be employed as a first-line management, other modalities such as endoscopic nasobiliary drainage, percutaneous transhepatic drainage, or retransplantation should be considered when complete removal is not feasible and the condition of the recipient deteriorates.
Bile Duct Diseases/*diagnosis/etiology/pathology
;
Bile Ducts, Extrahepatic/pathology
;
Bile Ducts, Intrahepatic/pathology
;
Cholangiopancreatography, Endoscopic Retrograde
;
Fatal Outcome
;
Humans
;
Jaundice, Obstructive/etiology
;
*Liver Transplantation
;
Male
;
Middle Aged
;
Postoperative Complications/*diagnosis/pathology/radiography
;
Tomography, X-Ray Computed
10.The clinical characteristics of alcoholic patients with hepatitis virus infection.
Chinese Journal of Hepatology 2009;17(11):809-811
Alcohol Drinking
;
adverse effects
;
Hepatitis, Viral, Human
;
complications
;
diagnostic imaging
;
pathology
;
Hepatocytes
;
pathology
;
Humans
;
Liver
;
diagnostic imaging
;
pathology
;
Liver Cirrhosis, Alcoholic
;
diagnostic imaging
;
etiology
;
pathology
;
Liver Diseases, Alcoholic
;
diagnostic imaging
;
etiology
;
pathology
;
Liver Neoplasms
;
epidemiology
;
etiology
;
pathology
;
Prognosis
;
Radiography
;
Risk Factors