Involvement of the Thoracic duct in Liver cirrhosis patients with ascites-Using MR Lymphography-
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- KUBOYAMA Shin-ichi
- Fukuoka Prefectural Hepato-gastroenterological Center
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- ISHII Kunihide
- Fukuoka Prefectural Hepato-gastroenterological Center
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- KOGA Hiroyuki
- Fukuoka Prefectural Hepato-gastroenterological Center
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- INOUE Kinya
- Fukuoka Prefectural Hepato-gastroenterological Center
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- IEMURA Akihiro
- Fukuoka Prefectural Hepato-gastroenterological Center
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- SANEFUGI Toshiaki
- Fukuoka Prefectural Hepato-gastroenterological Center
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- KAJIWARA Masahiko
- Fukuoka Prefectural Hepato-gastroenterological Center
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- ABE Hirohiko
- Fukuoka Prefectural Hepato-gastroenterological Center
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- ONO Naofumi
- The 2nd Department of Internal Medicine, Kurume University School of Medicine
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- TOYONAGA Atsushi
- The 2nd Department of Internal Medicine, Kurume University School of Medicine
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- SATA Michio
- The 2nd Department of Internal Medicine, Kurume University School of Medicine
Bibliographic Information
- Other Title
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- ＭＲ Ｌｙｍｐｈｏｇｒａｐｈｙによる肝硬変症患者胸管の観察―腹水との関連において―
- Using MR Lymphography
- 腹水との関連において
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Abstract
To elucidate whether the morphological changes of the thoracic duct are observed in patients with liver cirrhosis and ascites, the thoracic duct was examined at magnetic resonance (MR) lymphography without contrast agent. In 7 healthy volunteers, the thoracic duct was clearly visualized as an intermittent or continuous straight line along the thoracic aorta (its mean diameter was 3.9mm). In 20 liver cirrhosis without ascites, its mean diameter was 3.6mm. In 6 liver cirrhosis with refractory ascites, the thoracic duct was visualized as straight or slightly tortuous and slender line (its mean diameter was 2.5mm). On the other hand, 7 cases with ascites which respond well to the administration of diuretics showed tortuous and dilated thoracic duct (its mean diameter was 4.3mm). In cases with refractory ascites, mean diameter of the thoracic duct was significantly reduced, compared with the cases without ascites and with ascites that respond well to the administration of diuretics. Thus, it was found that the morphological differences of the thoracic duct depend on the response to the diuretics in liver cirrhosis patients with ascites.<br>To elucidate whether the morphological changes of the thoracic duct are observed in patients with liver cirrhosis and ascites, the thoracic duct was examined at magnetic resonance lymphography without contrast agent. In cases with refractory ascites, mean diameter of the thoracic duct was significantly reduced, compared with the cases without ascites and with ascites that respond well to the administration of diuretics.
Journal
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- Kanzo
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Kanzo 44 (7), 333-337, 2003
The Japan Society of Hepatology
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Keywords
Details 詳細情報について
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- CRID
- 1390282679767808128
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- NII Article ID
- 10011472565
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- NII Book ID
- AN00047770
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- ISSN
- 18813593
- 04514203
- http://id.crossref.org/issn/04514203
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed