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Journal of Ultrasound in Medicine, Vol 15, Issue 8 595-598, Copyright © 1996 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Changes in intrahepatic portal hemodynamic in early stage hepatic abscesses

Z. Y. Lin, J. H. Wang, L. Y. Wang, S. N. Lu, S. C. Chen, W. L. Chuang, M. Y. Hsieh, J. F. Tsai and W. Y. Chang
Department of Internal Medicine, Kaohsiung Medical College Hospital, Taiwan, Republic of China.

Color Doppler sonography was used to investigate the changes in intrahepatic portal hemodynamics in early stage hepatic abscesses (21 lesions). At time of patients' admission, 10 lesions measuring over 6 cm showed reverse flow from at least one of their corresponding segmental portal branches, but 11 lesions measuring 6 cm or less did not show this phenomenon. All portal branches with reverse flow eventually returned to a normal direction of flow after successful medication. In conclusion, a large early stage hepatic abscess may show temporary reverse portal flow on color imaging. Thus, a differential diagnosis of hepatic tumors with reverse portal flow should include early stage hepatic abscesses.


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