Diagnostic and Interventional Radiology
Cardiovascular Imaging - Case Report

CT-angiographic demonstration of hepatic collateral pathways due to superior vena cava obstruction in Behçet disease

1.

Departments of Radiology Trakya University Faculty of Medicine, Edirne, Turkey

2.

Department of Radiology, Trakya University School of Medicine, Edirne, Turkey

3.

Departments of Radiology, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.

4.

Departments of Radiology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey

5.

Türkiye Bilimsel ve Teknik Araştırına Kurumu, Beyin Dinamiği Multidisipliner Çalışma Grubu

6.

Departments of Radiology, Zonguldak Karaelmas University School of Medicine, Zonguldak, Turkey

Diagn Interv Radiol 2010; 16: 302-305
DOI: 10.4261/1305-3825.DIR.2174-08.2
Read: 743 Downloads: 551 Published: 03 September 2019

Abstract

Behçet disease (BD) is a chronic multisystemic inflammatory disorder, mainly characterized by recurrent oral and genital ulcers, skin lesions, and uveitis. Large vein thrombosis in BD is unusual; when present, it is most frequently seen in the inferior or superior vena cava (SVC). The authors describe an unusual hepatic pseudolesion caused by abnormal focal enhancement through collateral pathways to the liver in two BD patients with SVC occlusion on three-dimensional multi-detector computed tomography, using volume rendering and maximum intensity projection techniques. BD should be suspected in patients presenting a focal increased hepatic enhancement area with collaterals caused by occlusion of the SVC without evidence of a hypercoagulable state or malignant mediastinal or thoracic venous inlet obstruction.

Files
EISSN 1305-3612