SavedAdd your journal

Journals / Tanısal ve Girişimsel Radyoloji (Yeni Adı: Dİagnostic & Intervent. Radiol) / 2004 / Cilt: 10 - Sayı: 3

Subcapsular fatty infiltration of the liver in peritoneal dialysis patients treated with intraperiotoneal insulin: US and CT features (Case report)

Intraperitoneal insülin uygulanan periton diyaliz hastalarında karaciğerde subkapsüler yağlanma: US ve BT bulguları

Levent OĞUZKURT
Cem Erim HÜRCAN
DİLEK TORUN
Tülin YILDIRIM
Pages
242–245
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We present characteristic US and CT findings in two such patients with focal subcapsular fatty infiltration of the liver

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In recent years a characteristic subcapsular and periligamentous fatty infiltration of the liver has been reported in diabetic patients on intraperitoneal insulin treatment by continuous ambulatory peritoneal dialysis.
📊
Key Findings & Data:The finding is unique to these patients on continuous ambulatory peritoneal dialysis and has not been defined in diabetics using subcutaneous insulin.
💡
Conclusion & Impact:We present characteristic US and CT findings in two such patients with focal subcapsular fatty infiltration of the liver
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Periton diyalizi · Yağlı karaciğer · Tomografi

Abstract

In recent years a characteristic subcapsular and periligamentous fatty infiltration of the liver has been reported in diabetic patients on intraperitoneal insulin treatment by continuous ambulatory peritoneal dialysis. The finding is unique to these patients on continuous ambulatory peritoneal dialysis and has not been defined in diabetics using subcutaneous insulin. We present characteristic US and CT findings in two such patients with focal subcapsular fatty infiltration of the liver

Özet

Karaciğerdeki fokal yağlanma heterojen yağlanmadan farklı olarak karaciğerin bir ya da bir kaç bölgesinde, sınırlı yağlanma olarak tanımlanmıştır (1). Son yıllarda, devamlı ayaktan periton diyaliz (DAPD) programında, intraperitoneal insülin uygulanan diyabetik hastalarda görülen ve oldukça karakteristik görünümü olan fokal subkapsüler karaciğer yağlanmsı bildirilmiştir (2). Bu yazıda DAPD programındaki iki olguda US incelemesi sırasında ortaya çıkan ve BT inceleme ile doğrulanan karakteristik subkapsüler fokal yağlanma deseni bildirilmektedir.

🔖

Cite This Article

OĞUZKURT, L., HÜRCAN, C. E., TORUN, D., YILDIRIM, T. (2004). Subcapsular fatty infiltration of the liver in peritoneal dialysis patients treated with intraperiotoneal insulin: US and CT features (Case report). Tanısal ve Girişimsel Radyoloji (Yeni Adı: Dİagnostic & Intervent. Radiol), Cilt: 10 - Sayı: 3, 242–245. https://ajindex.com/articles/363189

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Baker ME, Silverman PM. Nodular focal fatty infiltration of the liver: CT appearance. AJR Am J Roentgenol 1985; 145:79- 80
  2. Grove A, Vyberg B, Vyberg M. Focal fatty change of the liver. A review and a case associated with continuous ambulatory peritoneal dialysis. Virchows Arch A Pathol Anat Histopathol 1991; 419:69-75
  3. Burrows, CJ, Jones AW. Hepatic subcapsular steatosis in a patient with insulin dependent diabetes receiving dialysis. J Clin Pathol 1994; 47:274-275
  4. Kallio T, Nevalainen PI, Lahtela JT, Mustonen J, Pasternack AI. Hepatic subcapsular steatosis in diabetic CAPD patients treated with intraperitoneal insulin. Description of a typical pattern. Acta Radiol 2001; 42:323-325
  5. Khanna R, Oreopoulos DG, Dombros N, et al. Continuous ambulatory peritoneal dialysis (CAPD) after three years: still a promising treatment. Perit Dial Bull 1981; 1:24-34
  6. Wanless IR, Bargman JM, Oreopoulos DG, Vas SI. Subcapsular steatonecrosis in response to peritoneal insulin delivery: a clue to the pathogenesis of steatonecrosis in obesity. Mod Pathol 1989; 2:69-74
  7. Nevalainen PI, Kallio T, Lahtela JT, Mustonen J, Pasternack AI. High permeability predisposes to hepatic steatosis in diabetic continuous ambulatory peritoneal dialysis patients receiving intraperitoneal insulin. Perit Dial Int 2000; 20:637-642
  8. Sohn J, Siegelman ES, Osiason AW. Unusual patterns of hepatic steatosis caused by the local effect of insulin revealed on chemical shift imaging. AJR Am J Roentgenol 2001; 176:471-474
  9. Brawer MK, Austin GE, Lewin KJ. Focal fatty change of the liver, a hitherto poorly described entity. Gastroenterology 1980; 78:247-252
  10. Bargman JM. The impact of intraperitoneal glucose and insulin on the liver. Perit Dial Int 1996; 16 (Suppl)1:211-214
  11. Roberts JL, Fishman EK, Hartman DS, Sanders R, Goodman Z, Siegelman RL. Lipomatous tumors of the liver: evaluation with CT and US. Radiology 1986; 158:613-617.