HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Donnelly, L. F. Articles by Milstein, M. S. Search for Related Content PubMed PubMed Citation Articles by Donnelly, L. F. Articles by Milstein, M. S.

Absent Uptake on Hepatobiliary Scintigraphy in Hepatic Lobar Infarction from Portal Vein Occlusion in Cholangiocarcinoma

Department of Radiology, Children's Hospital Medical Center, University of Cincinnati Hospital, Cincinnati, Ohio

Correspondence: For correspondence or reprints contact: Lane F. Donnelly, MD, Department of Radiology, Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039.

ABSTRACT

Hepatic infarction is an uncommon entity because of the dual blood supply to the liver. We report a case in which multimodalities demonstrate infarction of the left lobe of the liver secondary to left portal vein occlusion by an invasive cholangiocarcinoma. A ^99mTc-DISIDA hepatobiliary scan showed complete absence of activity to the left of the gallbladder fossa. The differential diagnosis of absent hepatic activity on a hepatobiliary scan must include hepatic infarction.

Key Words: hepatic infarct • portal vein occlusion • cholangiocarcinoma • hepatobiliary scintigraphy