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LCH Adenitis - Rosai Dorfman Disease
Joseph Junewick, MD FACR
over 6 years ago
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Hepatic/Portal Venous Calcifications

Case Detail

Anatomy: Gastrointestinal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Developmental or Congenital
Created: over 5 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: US CR
Activities:
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History

Twin female with intrauterine growth retardation.


Case Images


Diagnosis

Hepatic/Portal Venous Calcifications

Findings

CR – Numerous shard-like calcifications in the upper quadrants.

US – Extensive peripheral intrahepatic calcifications in a vascular distribution; no cyst or mass.

Discussion

An autopsy study of 33 spontaneously aborted fetuses showed hepatic calcifications, 18 related to the hepatic veins, 12 related to the portal veins, 2 intraparenchymal and one was mixed. Fetal anomalies were associated with 85% of cases; most common anomalies were calcified intraluminal meconium, cystic hygroma and metaphyseal lesions suggesting severe fetal illness as a common denominator. Maternal factors included history of birth control pills and low gravidity.

Reference

Hawass ND, Badawi MG, Fatani JA et al. Foetal Hepatic Calcification. Pediatr Radiol (1990); 20:528-535.



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