Frequency, CT findings, and fate of multiple infarcted regenerative nodules in liver cirrhosis after variceal bleeding or septic shock

Verfasser / Beitragende:
[Sunyoung Lee, Dongil Choi, Woo Jeong, Young Kim, Jae Lim, Moon Choi, Cheol Park]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/4(2015-04-01), 835-842
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0249-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0249-z 
245 0 0 |a Frequency, CT findings, and fate of multiple infarcted regenerative nodules in liver cirrhosis after variceal bleeding or septic shock  |h [Elektronische Daten]  |c [Sunyoung Lee, Dongil Choi, Woo Jeong, Young Kim, Jae Lim, Moon Choi, Cheol Park] 
520 3 |a Purpose: To evaluate the frequency, CT findings, and fate of multiple infarcted regenerative nodules in patients with liver cirrhosis after variceal bleeding or septic shock. Methods: During a recent 3-year period, 492 patients with hematemesis or melena (n=445) and septic shock (n=47) in liver cirrhosis visited our hospital. After applying the exclusion criteria, 136 patients with active variceal bleeding and 29 patients with septic shock were finally included in the study. We diagnosed multiple infarcted regenerative nodules based on the findings of the first follow-up (within 30days) CT after events. We evaluated the shape, number, size, margin, location, and distribution of the infarcted regenerative nodules. Results: Thirty-four patients were diagnosed with multiple infarcted regenerative nodules (20.6% [34/165]): 29 among 136 patients with variceal bleeding (21.3% [29/136]) and 5 among 29 patients with septic shock (17.2% [5/29]). Most of the infarcted regenerative nodules were round in shape, more than ten in number (79.4%), measured 1cm or less (76.3%), had well-defined margins (61.8%), were present in the periphery (67.6%), and had a clustered distribution (67.6%). Almost all of the infarcted regenerative nodules disappeared on the second follow-up CT (88.9% [16/18]). Conclusions: In cirrhotic patients, multiple infarcted regenerative nodules were not rare (they were found in about one-fifth of the patients) on the first follow-up CT after variceal bleeding or septic shock. Majority of the infarcted regenerative nodules were more than ten in number, measured 1cm or less, were located in the periphery, and had a clustered distribution. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Liver cirrhosis  |2 nationallicence 
690 7 |a Infarcted regenerative nodules  |2 nationallicence 
690 7 |a Variceal bleeding  |2 nationallicence 
690 7 |a Frequency  |2 nationallicence 
690 7 |a CT findings  |2 nationallicence 
700 1 |a Lee  |D Sunyoung  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Choi  |D Dongil  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Jeong  |D Woo  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Young  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Lim  |D Jae  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Choi  |D Moon  |u Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
700 1 |a Park  |D Cheol  |u Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 835-842  |x 0942-8925  |q 40:4<835  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0249-z  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0249-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Sunyoung  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Choi  |D Dongil  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jeong  |D Woo  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Young  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lim  |D Jae  |u Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Choi  |D Moon  |u Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Cheol  |u Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 835-842  |x 0942-8925  |q 40:4<835  |1 2015  |2 40  |o 261