Delayed contrast enhancement of hepatic parenchyma after intravenous sonographic contrast agent: unusual phenomenon. Case report and review of literature.

Autor: Tarnoki, David Laszlo, Tarnoki, Adam Domonkos, Sukosd, Hunor, Folhoffer, Aniko, Harkanyi, Zoltan
Zdroj: Journal of Ultrasound; Mar2021, Vol. 24 Issue 1, p3-9, 7p
Abstrakt: Aim: A case of heterogeneous late-phase hepatic enhancement (HLHE) using contrast‐enhanced ultrasound (CEUS) with SonoVue is presented, where HLHE lasted after 50 min of injection. Methods: This study aims to review prior literature on this topic, to characterize the features of HLHE in the liver, and to find possible and reliable explanations for this phenomenon. Results: From literature, thus far five publications discuss this phenomenon with a total of 21 patients. Conclusion: We suggest that phagocytosis of contrast agent microbubbles by macrophages, and lymphocytosis of peripheral blood due to stress conditions of the patients might be in the background of HLHE. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index