Liver and Bile Ducts

  • Gerd Schueller
Part of the Medical Radiology book series (MEDRAD)


Hepatic and biliary emergencies have an important impact on the workload of an emergency unit. However, the symptoms are likely to be unspecific in the non-traumatic acute abdomen. Most patients present with right upper quadrant pain and tenderness, fever, and jaundice. Rapidly establishing the diagnosis is mandatory and, in experienced hands, the chosen imaging techniques are powerful tools by which to narrow the diagnosis.


Bile Duct Inferior Vena Cava Biliary Tree Autosomal Dominant Polycystic Kidney Disease Gallbladder Carcinoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Acosta S, Alhadad A, Ekberg O (2009) Findings in multi-detector row CT with portal phase enhancement in patients with mesenteric venous thrombosis. Emerg Radiol 16(6):477–482PubMedCrossRefGoogle Scholar
  2. Alsaif HS, Venkatesh SK, Chan DS, Archuleta S (2011) CT Appearance of pyogenic liver abscesses caused by Klebsiella pneumoniae. Radiology 260:129–138PubMedCrossRefGoogle Scholar
  3. Arai K, Kawai K, Kohda W, Tatsu H, Matsui O, Nakahama T (2003) Dynamic CT of acute cholangitis: early inhomogeneous enhancement of the liver. AJR Am J Roentgenol 181(1):115–118PubMedGoogle Scholar
  4. Bahl M, Qayyum A, Westphalen AC et al (2008) Liver steatosis: investigation of opposed-phase T1-weighted liver MR signal intensity loss and visceral fat measurement as biomarkers. Radiology 249(1):160–166PubMedCrossRefGoogle Scholar
  5. Balci NC, Sirvanci M (2002) MR imaging of infective liver lesions. Magn Reson Imaging Clin N Am 10(1):121–135 viiPubMedCrossRefGoogle Scholar
  6. Becker CD, Mentha G, Terrier F (1998) Blunt abdominal trauma in adults: role of CT in the diagnosis and management of visceral injuries. Part 1 liver and spleen Eur Radiol 8(4):553-62Google Scholar
  7. Benedetti NJ, Desser TS, Jeffrey RB (2008) Imaging of hepatic infections. Ultrasound Q 24(4):267–278PubMedCrossRefGoogle Scholar
  8. Brancatelli G, Federle MP, Grazioli L, Golfieri R, Lencioni R (2002) Benign regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: radiologic-pathologic and clinical correlation. Radiographics 22(4):847–862PubMedGoogle Scholar
  9. Brancatelli G, Federle MP, Vilgrain V, Vullierme MP, Marin D, Lagalla R (2005) Fibropolycystic liver disease: CT and MR imaging findings. Radiographics 25(3):659–670PubMedCrossRefGoogle Scholar
  10. Buckley O, OB J, Snow A et al (2007) Imaging of Budd-Chiari syndrome. Eur Radiol 17(8):2071–2078PubMedCrossRefGoogle Scholar
  11. Catalano OA, Sahani DV, Forcione DG et al (2009) Biliary infections: spectrum of imaging findings and management. Radiographics 29(7):2059–2080PubMedCrossRefGoogle Scholar
  12. Chaubal N, Dighe M, Hanchate V, Thakkar H, Deshmukh H, Rathod K (2006) Sonography in Budd-Chiari syndrome. J Ultrasound Med 25(3):373–379PubMedGoogle Scholar
  13. Chung YE, Kim MJ, Park YN et al (2009) Varying appearances of cholangiocarcinoma: radiologic-pathologic correlation. Radiographics 29(3):683–700PubMedCrossRefGoogle Scholar
  14. Cura M, Haskal Z, Lopera J (2009) Diagnostic and interventional radiology for Budd-Chiari syndrome. Radiographics 29(3):669–681PubMedCrossRefGoogle Scholar
  15. Danet IM, Semelka RC, Braga L, Armao D, Woosley JT (2003) Giant hemangioma of the liver: MR imaging characteristics in 24 patients. Magn Reson Imaging 21(2):95–101PubMedCrossRefGoogle Scholar
  16. Enomoto T, Todoroki T, Koike N, Kawamoto T, Matsumoto H (2003) Xanthogranulomatous cholecystitis mimicking stage IV gallbladder cancer. Hepatogastroenterology 50(53):1255–1258PubMedGoogle Scholar
  17. Gore RM, Shelhamer RP (2007) Biliary tract neoplasms: diagnosis and staging. Cancer Imaging 7 Spec No A:S15–23Google Scholar
  18. Gupta A, Stuhlfaut JW, Fleming KW, Lucey BC, Soto JA (2004) Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis. Radiographics 24(5):1381–1395PubMedCrossRefGoogle Scholar
  19. Guy F, Cognet F, Dranssart M, Cercueil JP, Conciatori L, Krause D (2002) Caroli’s disease: magnetic resonance imaging features. Eur Radiol 12(11):2730–2736PubMedGoogle Scholar
  20. Han JK, Choi BI, Kim TK, Kim SW, Han MC, Yeon KM (1997) Hilar cholangiocarcinoma: thin-section spiral CT findings with cholangiographic correlation. Radiographics 17(6):1475–1485PubMedGoogle Scholar
  21. Hidajat N, Stobbe H, Griesshaber V, Felix R, Schroder RJ (2005) Imaging and radiological interventions of portal vein thrombosis. Acta Radiol 46(4):336–343PubMedCrossRefGoogle Scholar
  22. Hussain SM, JN IJ, Zondervan PE, Schalm SW, de Man RA, Krestin GP (2002) Benign versus malignant hepatic nodules: MR imaging findings with pathologic correlation. Radiographics 22(5):1023–1036 (discussion 37-9)PubMedGoogle Scholar
  23. Kim MJ, Cha SW, Mitchell DG, Chung JJ, Park S, Chung JB (1999) MR imaging findings in recurrent pyogenic cholangitis. AJR Am J Roentgenol 173(6):1545–1549PubMedGoogle Scholar
  24. Korner M, Krotz MM, Degenhart C, Pfeifer KJ, Reiser MF, Linsenmaier U (2008) Current role of emergency US in patients with major trauma. Radiographics 28(1):225–242PubMedCrossRefGoogle Scholar
  25. Levy AD, Rohrmann CA Jr, Murakata LA, Lonergan GJ (2002) Caroli’s disease: radiologic spectrum with pathologic correlation. AJR Am J Roentgenol 179(4):1053–1057PubMedGoogle Scholar
  26. Liu QY, Huang SQ, Chen JY et al (2010) Small hepatocellular carcinoma with bile duct tumor thrombi: CT and MRI findings. Abdom Imaging 35(5):537–542PubMedCrossRefGoogle Scholar
  27. Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR (1995) Organ injury scaling: spleen and liver (1994 revision). J Trauma 38(3):323–324PubMedCrossRefGoogle Scholar
  28. Morgan DE, Lockhart ME, Canon CL, Holcombe MP, Bynon JS (2006) Polycystic liver disease: multimodality imaging for complications and transplant evaluation. Radiographics 26(6):1655–1668 (quiz)PubMedCrossRefGoogle Scholar
  29. Mortele KJ, Ros PR (2001) Cystic focal liver lesions in the adult: differential CT and MR imaging features. Radiographics 21(4):895–910PubMedGoogle Scholar
  30. Mortele KJ, Segatto E, Ros PR (2004) The infected liver: radiologic-pathologic correlation. Radiographics 24(4):937–955PubMedCrossRefGoogle Scholar
  31. Murakami T, Baron RL, Peterson MS (1996) Liver necrosis and regeneration after fulminant hepatitis: pathologic correlation with CT and MR findings. Radiology 198(1):239–242PubMedGoogle Scholar
  32. Pieters PC, Miller WJ, DeMeo JH (1997) Evaluation of the portal venous system: complementary roles of invasive and noninvasive imaging strategies. Radiographics 17(4):879–895PubMedGoogle Scholar
  33. Poletti PA, Kinkel K, Vermeulen B, Irmay F, Unger PF, Terrier F (2003) Blunt abdominal trauma: Should US be used to detect both free fluid and organ injuries? Radiology 227(1):95–103PubMedCrossRefGoogle Scholar
  34. Qian Q, Li A, King BF et al (2003) Clinical profile of autosomal dominant polycystic liver disease. Hepatology 37(1):164–171PubMedCrossRefGoogle Scholar
  35. Reeder SB, Sirlin CB (2010) Quantification of liver fat with magnetic resonance imaging. Magn Reson Imaging Clin N Am 18(3):337–357 (9)PubMedCrossRefGoogle Scholar
  36. Smith GS, Birnbaum BA, Jacobs JE (1998) Hepatic infarction secondary to arterial insufficiency in native livers: CT findings in 10 patients. Radiology 208(1):223–229PubMedGoogle Scholar
  37. Sodhi KS, Ojili V, Sakhuja V, Khandelwal N (2008) Hepatic and inferior vena caval thrombosis: vascular complication of amebic liver abscess. J Emerg Med 34(2):155–157PubMedCrossRefGoogle Scholar
  38. Stewart BG, Gervais DA, O’Neill MJ, Boland GW, Hahn PF, Mueller PR (2008) Imaging and percutaneous treatment of secondarily infected hepatic infarctions. AJR Am J Roentgenol 190(3):601–607PubMedCrossRefGoogle Scholar
  39. Tkacz JN, Anderson SA, Soto J (2009) MR imaging in gastrointestinal emergencies. Radiographics 29(6):1767–1780PubMedCrossRefGoogle Scholar
  40. Torabi M, Hosseinzadeh K, Federle MP (2008) CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics 28(7):1967–1982PubMedCrossRefGoogle Scholar
  41. Vachha B, Sun MR, Siewert B, Eisenberg RL (2011) Cystic lesions of the liver. AJR Am J Roentgenol 196(4):W355–W366PubMedCrossRefGoogle Scholar
  42. Vitellas KM, Keogan MT, Freed KS et al (2000) Radiologic manifestations of sclerosing cholangitis with emphasis on MR cholangiopancreatography. Radiographics 20(4):959–975 (quiz 1108-9, 12)PubMedGoogle Scholar
  43. Vogl TJ, Schwarz WO, Heller M et al (2006) Staging of Klatskin tumours (hilar cholangiocarcinomas): comparison of MR cholangiography, MR imaging, and endoscopic retrograde cholangiography. Eur Radiol 16(10):2317–2325PubMedCrossRefGoogle Scholar
  44. Wani NA, Robbani I, Kosar T (2011) MRI of oriental cholangiohepatitis. Clin Radiol 66(2):158–163PubMedCrossRefGoogle Scholar
  45. Yeh BM, Liu PS, Soto JA, Corvera CA, Hussain HK (2009) MR imaging and CT of the biliary tract. Radiographics 29(6):1669–1688PubMedCrossRefGoogle Scholar
  46. Yoon W, Jeong YY, Kim JK et al (2005) CT in blunt liver trauma. Radiographics 25(1):87–104PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of RadiologyMedical University of Vienna, General Hospital of ViennaViennaAustria

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