| Three cases of multiple infracted regenerative nodules in Liver cirrhosis after gastrointestinal hemorrhage |
| Byung Seok Kim , Chang Hyeong Lee |
| Department of Internal Medicine, Catholic University of Daegu School of Medicine,
Daegu, Korea |
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| ABSTRACT |
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An infarction of regenerative nodules in liver cirrhosis is a rare abnormality characterized by their
coagulative necrosis. We presume that ischemic necrosis is induced by a sudden reduction in the portal and
arterial blood flows after blood loss or shock. Most patients with infarcted regenerative nodules have
experienced previous episodes of gastrointestinal hemorrhage. Awareness of the entity of infarcted regenerative
nodules and its inclusion in the differential diagnosis of multiple hepatic nodules in liver cirrhosis is
important, particularly in patients with an episode of gastrointestinal bleeding. The possible difficulty of
differentiating infarcted regenerative nodules in liver cirrhosis from hypovascular hepatocellular carcinoma by
initial imaging findings alone means that a liver biopsy and serial imaging might be helpful in the differential
diagnosis. We report three cases of multiple infarcted regenerative nodules in liver cirrhosis after gastrointestinal
hemorrhage. (Korean J Hepatol 2008;14:387-393) |
| KeyWords:
Infarcted regenerative nodules; Liver Cirrhosis; Gastrointestinal Hemorrhage; Carcinoma, Hepatocellular |
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