A radiological study of the lymphatics of the liver

Clain, David J.; McNulty, James G.

doi:10.1259/0007-1285-41-489-662

Cited by 15 publications

(8 citation statements)

References 4 publications

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“…In the first the thoracic duct lymph was studied to see whether there is any alteration in lymph transport in these patients. In the second the hepatic lymphatics were studied by the technique of percutaneous hepatography (Clain and McNulty, 1968) in 16 patients with idiopathic portal hypertension. In addition, the hepatic lymph was studied in 13 other cases of cirrhosis of the liver and five control subjects.…”

Section: Methodsmentioning

confidence: 99%

Thoracic duct and hepatic lymph in idiopathic portal hypertension

Samanta¹,

Saini²,

Chhuttani³

et al. 1974

Gut

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SUMMARY Lymph dynamics in idiopathic portal hypertension has been studied in two phases. In the first phase thoracic duct lymph transport was studied in 11 patients with idiopathic portal hypertension by cannulating the duct. This revealed altered lymph transport in the form of a distended thoracic duct, raised pressure in the duct, and haemorrhagic lymph with an increased flow rate. The lymph flow rate was analysed in relation to various hepatic haemodynamic and biochemical parameters. In the second phase of the study hepatic lymphatics were studied by percutaneous hepatography in 16 patients with idiopathic portal hypertension. By this technique hepatic lymphatics were opacified in patients with idiopathic portal hypertension and cirrhosis with equal frequency. The significance of this finding in relation to the altered hepatic haemodynamics and thoracic duct lymph transport is discussed.

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Section: Methodsmentioning

confidence: 99%

Thoracic duct and hepatic lymph in idiopathic portal hypertension

Samanta¹,

Saini²,

Chhuttani³

et al. 1974

Gut

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“…It has been observed in a variety of disorders, including cirrhosis, hepatitis, hepatic venous occlusion, sarcoidosis, primary and metastatic tumor involving the liver, and congestive heart failure [5].…”

Section: Discussionmentioning

confidence: 99%

Dilated periportal lymphatics mimicking an anastomotic bile leak after liver transplantation

Rabin

Abramson

Manzarbeitia

et al. 1991

Gastrointest Radiol

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“…In 1968, Clain and McNulty reported the results of a radiological study of the lymphatics of the liver by direct injection of contrast material within liver parenchyma [19]. In normal liver, no lymphatic drainage of contrast material was seen.…”

Section: Non-contrast Mr Lymphographymentioning

confidence: 99%

“…On the other hand, in case of liver disease, they demonstrated the presence of efferent hepatic lymph channels. Lymphatic vessels in the liver appeared as fine vessels which filled rapidly with contrast material draining medially in tortuous fashion to the hilum of the liver and regional lymph nodes, or less commonly towards the diaphragm [19,20]. The cisterna chyli and thoracic duct were uncommonly opacified [19].…”

Section: Non-contrast Mr Lymphographymentioning

confidence: 99%

Non-contrast MR lymphography of the lymphatic system of the liver

et al. 2019

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This review shows the images obtained with non-contrast MR lymphography in different pathologic conditions affecting the liver. Non-contrast MR lymphography is obtained with a free-breathing 3D high spatial resolution fast-recovery fast spin-echo sequence similar to that used for 3D MR cholangiopancreatography. The liver is the largest lymph-producing organ generating approximately half of the body's lymphatic fluid, and is the most important part of the lymphatic system from a functional point of view. Therefore, understanding the anatomy, physiology, and physiopathology of the lymphatics of the liver is important. However, its anatomy and pathology are relatively unknown because of the absence of commonly used imaging techniques. We describe the anatomy, the physiology, and the pathophysiology of the lymphatic system of the liver and the possibility of identifying dilated lymphatic vessels in various liver diseases and conditions. Disruption of normal lymphatic structure and function is observed in various disease conditions. Liver lymph flow is directly correlated with portal venous pressure. Therefore, a dilatation of liver lymphatics is observed in portal hypertension as well as in increased pressure in hepatic veins. After liver transplantation, ligation of lymphatic vessels at the hilum reduces chylous ascites and results in lymphatic dilatation which is easily observed. In severe long-standing biliary stenosis, dilated lymphatic vessels are commonly demonstrated with non-contrast MR lymphography. In hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and some metastases, lymphatic vessels are abundant in the immediate vicinity of the tumour. These various lymphatic abnormalities can be demonstrated with non-contrast MR lymphography.

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A radiological study of the lymphatics of the liver

Cited by 15 publications

References 4 publications

Thoracic duct and hepatic lymph in idiopathic portal hypertension

Thoracic duct and hepatic lymph in idiopathic portal hypertension

Dilated periportal lymphatics mimicking an anastomotic bile leak after liver transplantation

Non-contrast MR lymphography of the lymphatic system of the liver

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