Korean J Radiol.  2021 Apr;22(4):547-558. 10.3348/kjr.2019.0774.

MR Imaging of the Perihepatic Space

Affiliations
  • 1Department of Radiology, Centre Hospitalo-Universitaire de Reims, Reims, France.
  • 2Department of Abdominal and Interventional Radiology, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, APHP, Paris, France.
  • 3Paris Descartes University, Sorbonne Paris-Cité-Paris V, Paris, France.
  • 4Department of Radiology, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne Université, Paris, France.
  • 5Department of Radiology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre Bénite, France.
  • 6Lyon 1 Claude Bernard University, Lyon, France.
  • 7CRESTIC, Reims Champagne-Ardenne University, Reims, France.

Abstract

The perihepatic space is frequently involved in a spectrum of diseases, including intrahepatic lesions extending to the liver capsule and disease conditions involving adjacent organs extending to the perihepatic space or spreading thanks to the communication from intraperitoneal or extraperitoneal sites through the hepatic ligaments. Lesions resulting from the dissemination of peritoneal processes may also affect the perihepatic space. Here we discuss how to assess the perihepatic origin of a lesion and describe the magnetic resonance imaging (MRI) features of normal structures and fluids that may be abnormally located in the perihepatic space. We then review and illustrate the MRI findings present in cases of perihepatic infectious, tumor-related, and miscellaneous conditions. Finally, we highlight the value of MRI over computed tomography.

Keyword

Magnetic resonance imaging; Liver; Computed tomography; Peritoneum
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