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The variable of hypertrophic changes in hepatic morphology: CT appearance
1Department of Radiology, Hôpital Bichat, Paris, France.
Journal Belge De Radiologie
|June 1, 1993
Summary
Computed tomography (CT) can detect hypertrophic liver changes, which are common. Radiologists should consider various causes, including cirrhosis and Budd-Chiari syndrome, and rule out cancer.
Area of Science:
- Radiology
- Hepatology
- Medical Imaging
Background:
- The liver possesses a remarkable capacity for regeneration and hypertrophy.
- Hypertrophic changes in hepatic morphology can occur under various physiological and pathological conditions.
Purpose of the Study:
- To illustrate the computed tomographic (CT) appearances of hypertrophic liver morphology.
- To explore the diverse etiologies associated with hepatic hypertrophy.
Main Methods:
- Retrospective analysis of abdominal CT scans from 1,721 patients.
- Identification and characterization of hypertrophic liver changes in 153 patients.
Main Results:
- Hypertrophic liver morphology was identified in 9% of the studied cohort.
- Common etiologies included liver cirrhosis (75 cases), Budd-Chiari syndrome (35 cases), and post-partial hepatectomy (25 cases).
- Less frequent causes comprised cholangiocarcinoma, liver metastasis, portal vein embolization, schistosomiasis, and congenital hypertrophy.
Conclusions:
- Hypertrophic changes in hepatic morphology are a notable finding on CT scans.
- The presence of hepatic hypertrophy necessitates a comprehensive evaluation to exclude neoplastic disease and portal hypertension.