EURORAD ESR

Case 12307

Emphysematous hepatitis in a diabetic patient

Author(s)
Dimitriou C, Papadimitriou A, Nalmpantidou C, Katsiba D. Kaitartzis C, Arvaniti M

Department of Radiology
General Hospital of Thessaloniki G. Gennimatas
Email:cdimitriou@ymail.com
 
Patient
male, 72 year(s)
 
 
  • Figure 1
    Unenhanced CT images with lung window settings
     

    Segmental replacement of liver parenchyma with gas involving segment V

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Pathology;

    Segmental replacement of liver parenchyma with gas involving segment VIII

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Pathology;

    Presence of gas in small peripheral branches of portal vein

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Pathology;

    Coronal reformatted CT image of our patient

     
    Area of Interest: Liver; Imaging Technique: Image manipulation / Reconstruction; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
  • Figure 2
    Contrast-enhanced CT images
     

    Absence of fluid collections or signs of abscess formation in the involved segments (segment V)

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Pathology;

    Absence of fluid collections or signs of abscess formation in the involved segments (segment VIII)

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Pathology;

    Coronal reformatted CT image of our patient

     
    Area of Interest: Liver; Imaging Technique: Image manipulation / Reconstruction; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
  • Figure 3
    Coronal reformatted CT image

    No signs of communication with the gallbladder were noted (absence of air in the gallbladder wall or lumen)

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: Image manipulation / Reconstruction; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
  • Figure 4
    Contrast-enhanced axial CT images (arterial phase)
     

    Patency of the main hepatic artery at its origin from the coeliac axis

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Embolism / Thrombosis; Obstruction / Occlusion;

    Patency of the hepatic artery in the porta hepatis

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Embolism / Thrombosis; Obstruction / Occlusion;
     
     
  • Figure 5
    Contrast-enhanced axial CT images (portal venous phase)
     

    Patency of the portal vein at portosplenic confluence

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Embolism / Thrombosis; Obstruction / Occlusion;

    Patency of portal vein at its bifurcation into right and left branches

     
    Area of Interest: Portal system / Hepatic veins; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Embolism / Thrombosis; Obstruction / Occlusion;
     
     
Segmental replacement of liver parenchyma with gas involving segment V
 
Segmental replacement of liver parenchyma with gas involving segment VIII
 
Presence of gas in small peripheral branches of portal vein
 
Coronal reformatted CT image of our patient
 
Absence of fluid collections or signs of abscess formation in the involved segments (segment V)
 
Absence of fluid collections or signs of abscess formation in the involved segments (segment VIII)
 
Coronal reformatted CT image of our patient
 
No signs of communication with the gallbladder were noted (absence of air in the gallbladder wall or lumen)
 
Patency of the main hepatic artery at its origin from the coeliac axis
 
Patency of the hepatic artery in the porta hepatis
 
Patency of the portal vein at portosplenic confluence
 
Patency of portal vein at its bifurcation into right and left branches
 
 
 
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