Intrahepatic veno-venous anastomosis in patients with hepatic veins obstruction due to hydatid liver cyst

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CARCINOMA Chabukovska J., Tolovski G., Trajkovski Kirijas N., Vasilevska V. school of Medicine, Institut of Radiology, versity of Sv. Kiril i Metodij, Skopje, of Macedonia In The contraSt examination of the .gall (GB) tion

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INTRAHEPATIC VENO-VENCUS ANASYCHOStS IN PAllSNTS HEPAllC VEINS CSSTRUCl0N W E TO WDARD LIVER CYST L. Glo@, N. MafbWOo, A. Pumtb, V. Akkk, Fmntkrl IntcrvcnUon~I US rmvkrQ. Cotu@w Hospltll. NapkaflALY

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Republiq bladder

Cmnpmulon of InlM.pmk VU& or bil@ ducb k . common complkmkn of Hydmld Llvm cym (HLC) . Ob*Nctionofhrpltkv.lne IHVI due to HLC wokbm In . fatal SuddChkrl aJndmnn ha, bnn

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Ultrasaund give us the opportunity to get excellent visualisation of the pathomorphological chanqes et the gallbladder wall. lie present 18 patients wth GB carcinoma. In 14 (75%) of the all patients the main diagnostic sign wasS the hyperechgenicity TU on the GB waal with prominance into the GB interior, without In 4 (25%) of the patient accustic shadowing. the layers of the GB were thikened more than 5 m m and laminated, with irregularity of the mucosal folds. USfindingS were computed tomography and surgically confirmed. US is modality of choice in the investigation of the GB carcinoma. Radiological termS of nonvisuaalized gallbladrr do not apply to a well performed US Using State-of-the-art facilities.

An evaluation

s53

of lnmging and Doppler ultrareond of the liver in patients with primary biliary cirrhosis B Meire & Pat Farrant King’s College Hospital, London UK

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toncl”rlons: ln&eofo&lmthmofomormmHVth.pr*ntHVun aupp(y dmlnaSa toward lnhrkf \9na CM. DDPPIw US C M M mwmal of Sow mv~llna obstructkn of HV. PAl of HLC an mwwd Budd-Chlml

RADIOFREGUENCY THERMALABLATION VERSUSPERCUTANEOUS ETHANOL . M,RCTION IN THE TREATMENT OF SMALL HEPATOCELLULAR CARCINOMA T LIVRAGlII l , F MEulNI *, S. LAiZABONI ., L SOLBIATI,, GGLDEBERG+ G GIOVANNARDI *, R.L. FEP.RARA *,

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Doppler ultrasound of the portal vein, hepatic artery and right hepatic win, together with measummentof portal vein diameter and spleen length, W B Sundertaken in 26 patients with establishedprimary biiiaq cirrhosis (PBC) and 25 normal control subjects. The values obtained in the PBC patients were compared with a range of liver fimction tests, histological grading of their liver diseaseand the ultrasound findings in the control group There were no significant differences in any of the measuredvariables between the PBC patients and controls. The bigbest correlation between the ultmsmmd measurementsand the laboratory findings in the F’BC patients wss hewzen spleen size and bistoloogicalstaging with Bn r value of 0 78. Positive correlations were also obtained between age and hqttic atmy resistance index, spleensize and biiirubin level. None of the other variables showed any correlation. The value ofbilixubii BSan indicator of diseaseseverity was estimated by comparing biliibii levels with all c&r laboratory findings. There was a weak negative correlation with albumin and a very weak positive correlation with the AST level. We conclude that Doppler variables measuredin this study do not contribute to tbe managementof patients with PBC.

up mges hm 1 to 38 months RESULTS Complete tumor necrosis was sbavn by CT in 46 / 52 lesions treated hy RF (88,4%), and in 49 I60 lesions treated by PEI (81.6%) In fbe RF ties one puients bad s plead blood d&ion requiring d&age CONCLUSION : RF weamen! acbimd wmpkte tumor ablation larger than

PEI,andrequiresa aignificamiy lowernumkr oftrutmmt ocssiona * Departnmtof RadiologyViiute Hospital (Italy) 4ocplrtmcnt dRadidogy Buao Arskio Hospital (Italy) 6 Department OfMdicine Imeme Cbaxx Hospital ,(Imly) . Department of Radiology h4nssacbuwtn General Hospital, Boston (USA)