Per-rectal portal scintigraphy for the evaluation of portal circulation in patients with primary biliary cirrhosis.

進, 塩見; 守一, 関; 重義, 針原; 哲夫, 黒木; 絢三, 小林; 修, 倉井; 直子, 池岡; 丈之, 門奈; 祐夫, 山本

doi:10.2957/kanzo.29.1382

Cited by 2 publications

(1 citation statement)

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“…We have reported in an earlier study that abnormalities of portal circulation can exist before PBC advances to actual cirrhosis. 13 In this patient, it was likely that such abnormalities of portal circulation, resulting from the decline in liver reserve, played a role in the appearance of hypoxemia. Nakaya et al14 reviewed 15 patients with cirrhosis of the liver and severe hypoxemia reported in Japan.…”

Section: Case Reportmentioning

confidence: 99%

Primary biliary cirrhosis complicated by severe hypoxemia

et al. 1995

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The case reported here is of a 61-year-old woman diagnosed with hepatopulmonary syndrome. She had had severe hypoxemia for 5 years. In room air, her arterial oxygen tension was low, and although we anticipated that treatment with oxygen would increase it, the treatment failed to do so. Pulmonary perfusion imaging with Tc-99m-labelled macroaggregated albumin showed an arterio-venous shunt in the lungs. Blood tests and liver scanning with Tc-99m-labelled galactosyl human serum albumin showed abnormalities of liver function, and per-rectal portal scintigraphy with Tc-99m pertechnetate showed severe portal hypertension. Inspection of a biopsy specimen taken under ultrasonographic guidance showed primary biliary cirrhosis of Scheuer stage I. The causes of hepatopulmonary syndrome are unknown, but seem to include a decrease in hepatic functional reserve, portal hypertension, or other factors. The development of hepatopulmonary syndrome due to portal hypertension in this patient is of interest.

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Section: Case Reportmentioning

confidence: 99%

Primary biliary cirrhosis complicated by severe hypoxemia

et al. 1995

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A 56 Year‐Old Female with Congenital Hepatic Fibrosis Diagnosed by Laparoscopy

Shiomi

Sasaki

Kadoya

et al. 1999

Digestive Endoscopy

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We describe a 56-year-old woman with congenital hepatic fibrosis. Blood tests and liver scanning with Tc-99m-labelled galactosyl human serum albumin revealed mild liver dysfunction. Per-rectal portal scintigraphy with iodine-1 23 iodoamphetamine showed severe abnormalities in the portal circulation, and the portal pressure measured during percutaneous transhepatic portography was high (350 mmH20). Idiopathic portal hypertension was suspected. Laparoscopy disclosed diffuse, intense dendritic white markings around the liver. Congenital hepatic fibrosis was confirmed on histologic examination of a biopsy specimen obtained during laparoscopy. In summary, we report a rare and relatively elderly case of CHF, in which laparoscopy was useful in the diagnosis. (Dig Endosc 1999; 11: 174-178)

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Per-rectal portal scintigraphy for the evaluation of portal circulation in patients with primary biliary cirrhosis.

Cited by 2 publications

References 2 publications

Primary biliary cirrhosis complicated by severe hypoxemia

Primary biliary cirrhosis complicated by severe hypoxemia

A 56 Year‐Old Female with Congenital Hepatic Fibrosis Diagnosed by Laparoscopy

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