CT APPEARANCE OF HEPATIC OIL EMBOLISM FOLLOWING LYMPHOGRAPHY

淋巴造影術後肝臟油性栓塞之電腦斷層影像

周宜宏(Yi-Hong Chou) ； 刁翠美(Chui-Mei Tiu) ； 潘慧本(Huay-Ben Pan) ； 張遵(Tsuen Chang)

《中華放射線醫學雜誌》 9卷1期 (1984/03) Pp. 60-63

摘要

The incidence of hepatic oil embolism is extremely low, it occurs only in 0.19-0.8% of patients after lymphography. The oily contrast medium reaches the liver via lymphatic-venous anastomosis secondary to partial or complete obstruction of the iliac or retroperitoneal lymph pathway, this may or may not be combined with inferior vena cava obstruction. We have a case of prostatic carcinoma with extensive retroperitoneal lymph node metastasis, the CT performed seven days after lymphography showed unique appearance of hepatic oil embolism.

並列摘要

淋巴造影術後肝臟内油性栓塞之發生率極低，僅出現於0.19％-0.8％之病人。因部份或完全之髂部或後腹腔淋巴徑路之阻塞，油性對比劑經由淋巴一靜脈吻合（lymphaticovenous anastomosis）而達肝臟，此現象之發生不一定伴有下腔靜脈阻塞。本文報告一例攝護腺癌伴有廣泛後腹膜淋巴節轉移的病人，在淋巴造影術施行七日後電腦斷層呈示獨特之肝臓油性對比劑栓塞之影像。