RESUMEN
We present a case in which intraparenchymal hepatic gas was observed in the absence of an abscess. This occurred following hepatic artery thrombosis in the setting of liver transplantation. An analogy is drawn to the postinfarction syndrome seen following therapeutic embolization and intrauterine fetal death. The unique features of the liver transplant and how they relate to the mechanisms of gas formation are discussed.
Asunto(s)
Gases/metabolismo , Arteria Hepática/diagnóstico por imagen , Arteria Hepática/metabolismo , Trasplante de Hígado , Trombosis/diagnóstico por imagen , Trombosis/metabolismo , Adulto , Diagnóstico Diferencial , Humanos , Absceso Hepático/diagnóstico por imagen , Trasplante de Hígado/efectos adversos , Masculino , RadiografíaRESUMEN
A case of infectious mononucleosis (IM) which, on computed tomography (CT) scan, mimicked the morphologic features of lymphoma is reported. The CT findings in this case include generalized lymphadenopathy, splenomegaly, and focal low-attenuation splenic lesions in a fifty-three year old woman; these findings have not previously been described in patients with IM. This is most likely because IM is usually a clinical diagnosis confirmed by serologic testing. Imaging modalities such as CT scan have not routinely been utilized to support this diagnosis.