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Active intrahepatic gadolinium extravasation following TIPS.

Abstract：

:A 31-year-old male patient had a transjugular intrahepatic portal systemic shunt (TIPS) placed for acute Budd-Chiari syndrome secondary to paroxysmal nocturnal hemoglobinuria (PNH). Post-procedure, he was anticoagulated for his underlying paroxysmal nocturnal hemoglobinuria. After 11 days, he complained of upper abdominal pain and underwent magnetic resonance imaging (MRI). On immediate post-gadolinium spoiled-gradient-echo (SGE) images, active extravasation of gadolinium was depicted in one of two intrahepatic hematomas. Progression of layering of high signal gadolinium was shown from early to later phase post-gadolinium images. The active arterial bleeding was confirmed by conventional angiography performed immediately following the magnetic resonance imaging.

journal_name

Magn Reson Imaging

journal_title

Magnetic resonance imaging

authors

Hasegawa S,Eisenberg LB,Semelka RC

doi

10.1016/s0730-725x(98)00081-2

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

851-3

issue

7

eissn

0730-725X

issn

1873-5894

pii

S0730-725X(98)00081-2

journal_volume

16

pub_type

杂志文章

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