Area of coagulation necrosis due to local ischemia resulting from obstruction of circulation, most commonly by thrombus or embolus
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Shindo D et al: The findings of the contrast-enhanced CT and risk factors for hepatic infarction after pancreatoduodenectomy. Jpn J Radiol. 38(6):547-52, 2020
Li C et al: Hepatic infarction caused by antiphospholipid syndrome secondary to systemic lupus erythematosus. J Rheumatol. 46(7):755-6, 2019
Liu GP et al: Acute liver failure and infarction complicating TIPS placement. Radiol Case Rep. 14(7):876-9, 2019
Mills A et al: Imaging features of hepatic arterial and venous flow abnormalities. Clin Liver Dis (Hoboken). 11(1):27-32, 2018
Maruyama M et al: Hepatic infarction complicated with acute pancreatitis precisely diagnosed with gadoxetate disodium-enhanced magnetic resonance imaging. Intern Med. 53(19):2215-21, 2014
Chou MM et al: Extensive hepatic infarction in severe preeclampsia as part of the HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets): evolution of CT findings and successful treatment with plasma exchange therapy. Taiwan J Obstet Gynecol. 51(3):418-20, 2012
Cho SK et al: Ischemic liver injuries after hepatic artery embolization in patients with delayed postoperative hemorrhage following hepatobiliary pancreatic surgery. Acta Radiol. 52(4):393-400, 2011
Choi SH et al: Hepatic arterial injuries in 3110 patients following percutaneous transhepatic biliary drainage. Radiology. 261(3):969-75, 2011
Ebert EC et al: Gastrointestinal and hepatic manifestations of rheumatoid arthritis. Dig Dis Sci. 56(2):295-302, 2011
Ebert EC et al: Gastrointestinal and hepatic manifestations of systemic lupus erythematosus. J Clin Gastroenterol. 45(5):436-41, 2011
Letoublon C et al: Hepatic arterial embolization in the management of blunt hepatic trauma: indications and complications. J Trauma. 70(5):1032-6; discussion 1036-7, 2011
Shah PA et al: Hepatic gas: widening spectrum of causes detected at CT and US in the interventional era. Radiographics. 31(5):1403-13, 2011
Wallis A et al: Failure to thrive: an unexpected finding after Whipple's resection. Image 1: extensive hepatic infarction: an extremely rare complication of Whipple's resection. Gastroenterology. 140(7):e1-2, 2011
Stewart BG et al: Imaging and percutaneous treatment of secondarily infected hepatic infarctions. AJR Am J Roentgenol. 190(3):601-7, 2008
Giovine S et al: Retrospective study of 23 cases of hepatic infarction: CT findings and pathological correlations. Radiol Med (Torino). 111(1):11-21, 2006
Fujiwara H et al: Hepatic infarction following abdominal interventional procedures. Acta Med Okayama. 58(2):97-106, 2004
Hou SK et al: Hepatic portal venous gas: clinical significance of computed tomography findings. Am J Emerg Med. 22(3):214-8, 2004
Blachar A et al: Acute fulminant hepatic infection causing fatal "emphysematous hepatitis": case report. Abdom Imaging. 27(2):188-90, 2002
Mayan H et al: Fatal liver infarction after transjugular intrahepatic portosystemic shunt procedure. Liver. 21(5):361-4, 2001
Quiroga S et al: Complications of orthotopic liver transplantation: spectrum of findings with helical CT. Radiographics. 21(5):1085-102, 2001
Kim T et al: Infarcted regenerative nodules in cirrhosis: CT and MR imaging findings with pathologic correlation. AJR Am J Roentgenol. 175(4):1121-5, 2000
Wallace S et al: Hepatic chemoembolization: clinical and experimental correlation. Acta Gastroenterol Belg. 63(2):169-73, 2000
Smith GS et al: Hepatic infarction secondary to arterial insufficiency in native livers: CT findings in 10 patients. Radiology. 208(1):223-9, 1998
Holbert BL et al: Hepatic infarction caused by arterial insufficiency: spectrum and evolution of CT findings. AJR Am J Roentgenol. 166(4):815-20, 1996
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References
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Tables
KEY FACTS
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Liver infarction
Definitions
Area of coagulation necrosis due to local ischemia resulting from obstruction of circulation, most commonly by thrombus or embolus
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Shindo D et al: The findings of the contrast-enhanced CT and risk factors for hepatic infarction after pancreatoduodenectomy. Jpn J Radiol. 38(6):547-52, 2020
Li C et al: Hepatic infarction caused by antiphospholipid syndrome secondary to systemic lupus erythematosus. J Rheumatol. 46(7):755-6, 2019
Liu GP et al: Acute liver failure and infarction complicating TIPS placement. Radiol Case Rep. 14(7):876-9, 2019
Mills A et al: Imaging features of hepatic arterial and venous flow abnormalities. Clin Liver Dis (Hoboken). 11(1):27-32, 2018
Maruyama M et al: Hepatic infarction complicated with acute pancreatitis precisely diagnosed with gadoxetate disodium-enhanced magnetic resonance imaging. Intern Med. 53(19):2215-21, 2014
Chou MM et al: Extensive hepatic infarction in severe preeclampsia as part of the HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets): evolution of CT findings and successful treatment with plasma exchange therapy. Taiwan J Obstet Gynecol. 51(3):418-20, 2012
Cho SK et al: Ischemic liver injuries after hepatic artery embolization in patients with delayed postoperative hemorrhage following hepatobiliary pancreatic surgery. Acta Radiol. 52(4):393-400, 2011
Choi SH et al: Hepatic arterial injuries in 3110 patients following percutaneous transhepatic biliary drainage. Radiology. 261(3):969-75, 2011
Ebert EC et al: Gastrointestinal and hepatic manifestations of rheumatoid arthritis. Dig Dis Sci. 56(2):295-302, 2011
Ebert EC et al: Gastrointestinal and hepatic manifestations of systemic lupus erythematosus. J Clin Gastroenterol. 45(5):436-41, 2011
Letoublon C et al: Hepatic arterial embolization in the management of blunt hepatic trauma: indications and complications. J Trauma. 70(5):1032-6; discussion 1036-7, 2011
Shah PA et al: Hepatic gas: widening spectrum of causes detected at CT and US in the interventional era. Radiographics. 31(5):1403-13, 2011
Wallis A et al: Failure to thrive: an unexpected finding after Whipple's resection. Image 1: extensive hepatic infarction: an extremely rare complication of Whipple's resection. Gastroenterology. 140(7):e1-2, 2011
Stewart BG et al: Imaging and percutaneous treatment of secondarily infected hepatic infarctions. AJR Am J Roentgenol. 190(3):601-7, 2008
Giovine S et al: Retrospective study of 23 cases of hepatic infarction: CT findings and pathological correlations. Radiol Med (Torino). 111(1):11-21, 2006
Fujiwara H et al: Hepatic infarction following abdominal interventional procedures. Acta Med Okayama. 58(2):97-106, 2004
Hou SK et al: Hepatic portal venous gas: clinical significance of computed tomography findings. Am J Emerg Med. 22(3):214-8, 2004
Blachar A et al: Acute fulminant hepatic infection causing fatal "emphysematous hepatitis": case report. Abdom Imaging. 27(2):188-90, 2002
Mayan H et al: Fatal liver infarction after transjugular intrahepatic portosystemic shunt procedure. Liver. 21(5):361-4, 2001
Quiroga S et al: Complications of orthotopic liver transplantation: spectrum of findings with helical CT. Radiographics. 21(5):1085-102, 2001
Kim T et al: Infarcted regenerative nodules in cirrhosis: CT and MR imaging findings with pathologic correlation. AJR Am J Roentgenol. 175(4):1121-5, 2000
Wallace S et al: Hepatic chemoembolization: clinical and experimental correlation. Acta Gastroenterol Belg. 63(2):169-73, 2000
Smith GS et al: Hepatic infarction secondary to arterial insufficiency in native livers: CT findings in 10 patients. Radiology. 208(1):223-9, 1998
Holbert BL et al: Hepatic infarction caused by arterial insufficiency: spectrum and evolution of CT findings. AJR Am J Roentgenol. 166(4):815-20, 1996
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