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[175,Hepatobiliary [HB]] 20/M,recurrent GI bleeding
Subspecialty Hepatobiliary [HB]
Classification Congenital
Difficulty For resident,Rare case,
Modality US,CT,
So Yeon Kim,2018-05-08
실제 이미지
Gray-scale US of the liver reveals multifocal cystic dilatation of the intrahepatic bile ducts. Echogenic septa traversing the dilated bile duct lumen are noted (Intraductal bridging).
실제 이미지
Doppler US images show small portal vein branches completely surrounded by dilatated bile ducts.
실제 이미지
Doppler US images show small portal vein branches completely surrounded by dilatated bile ducts.
실제 이미지
The left kidney looks enlarged and echogenic while retaining a reniform shape on a gray-scale US image.
실제 이미지
Color Doppler US demonstrates twinkling artifacts in the echogenic lesions in the kidney, suggestive of the presence of renal calculi.
실제 이미지
Noncontrast CT confirms the presence of multiple renal calculi in both kidneys.
실제 이미지
Axial arterial phase (Fig 7) and coronal portal phase (Fig 8) images demonstrate multifocal cystic and saccular dilatation of the intrahepatic bile ducts. Enhancing dots within the dilated intrahepatic bile ducts, representing portal radicles, also known as “central dot” sign are seen. The presence of portosystemic collateral vessels (arrowheads) implies portal hypertension caused by congenital hepatic fibrosis. Multiple cystic lesions and tubular structures in both kidneys are mainly located in corticomedullary junction, suggestive of autosomal recessive polycystic kidney disease.
실제 이미지
Axial arterial phase (Fig 7) and coronal portal phase (Fig 8) images demonstrate multifocal cystic and saccular dilatation of the intrahepatic bile ducts. Enhancing dots within the dilated intrahepatic bile ducts, representing portal radicles, also known as “central dot” sign are seen. The presence of portosystemic collateral vessels (arrowheads) implies portal hypertension caused by congenital hepatic fibrosis. Multiple cystic lesions and tubular structures in both kidneys are mainly located in corticomedullary junction, suggestive of autosomal recessive polycystic kidney disease.
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