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Multiple infarcted regenerative nodules in liver cirrhosis after decompensation of cirrhosis: a case series


Scholtze, Dieter; Reineke, Tanja; Müllhaupt, Beat; Gubler, Christoph (2010). Multiple infarcted regenerative nodules in liver cirrhosis after decompensation of cirrhosis: a case series. Journal of Medical Case Reports, 4:375.

Abstract

These patients showed focal liver lesions, to be considered in the differential diagnosis of cirrhotic livers. Infarcted regenerative nodules may be underdiagnosed in patients with decompensation of cirrhosis. In order to differentiate these lesions from malignant tumors, serial imaging seems to be helpful. However, the main differential diagnosis should be an abscess. It is important to know the wide spectrum of image appearances of these lesions. Hypotension can lead to a reduction of portal and arterial liver flow. Since variceal bleeding or septic shock can induce hypotension - as observed in our patients - we conclude that this leads to infarction of such nodules.

These patients showed focal liver lesions, to be considered in the differential diagnosis of cirrhotic livers. Infarcted regenerative nodules may be underdiagnosed in patients with decompensation of cirrhosis. In order to differentiate these lesions from malignant tumors, serial imaging seems to be helpful. However, the main differential diagnosis should be an abscess. It is important to know the wide spectrum of image appearances of these lesions. Hypotension can lead to a reduction of portal and arterial liver flow. Since variceal bleeding or septic shock can induce hypotension - as observed in our patients - we conclude that this leads to infarction of such nodules.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic and Policlinic for Internal Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2010
Deposited On:25 Jun 2012 12:34
Last Modified:05 Apr 2016 15:37
Publisher:BioMed Central
ISSN:1752-1947
Publisher DOI:https://doi.org/10.1186/1752-1947-4-375
PubMed ID:21092254
Permanent URL: https://doi.org/10.5167/uzh-59293

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