J Korean Radiol Soc.  2000 Jul;43(1):73-76. 10.3348/jkrs.2000.43.1.73.

Hepatic Infarction Complicating Acute Pancreatitis: A Case Report

• Kim HS
• Hong SH
• Park HS
• Lee ES
• Kang IW

• KMID: 2200708
• DOI: http://doi.org/10.3348/jkrs.2000.43.1.73

Abstract

Hepatic infarction is relatively uncommon and is usually related to surgery or interventional procedures. Pancreatitis-associated hepatic infarction has not been reported in the literature, and we now describe a case of hepatic infarction in a 31-year-old man with acute pancreatitis. Initial CT scanning demonstrated an enlarged pancreas with multifocal fluid collection, and a large wedge-shaped low attenuation lesion was seen in the right lobe of the liver along with thrombi in the posteroinferior branch of the right portal vein. Hepatic arteri-ography and SMA portography revealed a pseudoaneurysm in the right hepatic artery, thrombi in the main portal vein and its posteroinferior branch, and perfusion defects confined to S6 of the liver.

Keyword

Liver, infarction; Pancreatitis; Portal vein, thrombosis; Hepatic arteries, injuries

MeSH Terms

Adult
Aneurysm, False
Hepatic Artery
Humans
Infarction*
Liver
Pancreas
Pancreatitis*
Perfusion
Portal Vein
Portography
Tomography, X-Ray Computed