Hepatic sinusoidal dilatation

Giuseppe Brancatelli1, Alessandro Furlan2, Alberto Calandra3

  • 1Section of Radiological Sciences, Department of Biopathology and Medical Biotechnologies, Di.Bi. Med, University of Palermo, Via del Vespro 129, 90127, Palermo, Italy. gbranca@yahoo.com.

Insights

Hepatic sinusoidal dilatation, an enlargement of liver capillaries, often stems from venous outflow obstruction. However, it can also occur with extrahepatic inflammation, impacting liver parenchyma.

Area of Science:

  • Radiology
  • Hepatology
  • Vascular Medicine

Background:

  • Hepatic sinusoidal dilatation involves enlarged hepatic capillaries.
  • It is frequently caused by hepatic venous outflow obstruction, leading to vascular stasis and hepatic parenchyma congestion.
  • Causes include pericardial disease, heart failure, hepatic vein or inferior vena cava compression/thrombosis (Budd-Chiari syndrome), and sinusoidal obstruction syndrome.

Purpose of the Study:

  • To describe the imaging characteristics of hepatic sinusoidal dilatation.
  • To differentiate causes of hepatic sinusoidal dilatation based on imaging findings.
  • To explore associations between hepatic sinusoidal dilatation and both intrahepatic and extrahepatic conditions.

Main Methods:

  • Review of contrast-enhanced cross-sectional imaging studies.
  • Analysis of hepatic and extrahepatic imaging features.
  • Correlation of imaging findings with clinical conditions.

Main Results:

  • Hepatic sinusoidal dilatation typically presents as a mottled, reticular "mosaic" liver enhancement pattern on contrast-enhanced imaging.
  • Dilated hepatic veins and ascites are additional imaging indicators.
  • Extrahepatic inflammatory conditions can cause hepatic sinusoidal dilatation without venous outflow obstruction.

Conclusions:

  • Hepatic sinusoidal dilatation has characteristic imaging features on cross-sectional studies.
  • Imaging findings, including the "mosaic" pattern and associated features, aid in diagnosing the cause.
  • Understanding these patterns is crucial for differentiating between venous outflow obstruction and inflammatory causes.

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