A case of infantile Dubin-Johnson syndrome with high CT attenuation in the liver

Pediatr Radiol. 1997 Apr;27(4):345-7. doi: 10.1007/s002470050147.

Abstract

We report a case of Dubin-Johnson syndrome (DJS) with severe infantile cholestasis and elevated computed tomography (CT) attenuation of the liver. Increased levels of urinary coproporphyrin I were found as well as pigment granules in the hepatocytes and hepatosteatosis. The CT attenuation was markedly higher in the liver of this patient at the ages of 3 and 7 months than in the spleen or kidneys. This high attenuation may be a finding specific to infantile DJS and, therefore, abdominal CT may be helpful in the diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Biopsy, Needle
  • Coproporphyrins / urine
  • Humans
  • Infant
  • Jaundice, Chronic Idiopathic / diagnosis
  • Jaundice, Chronic Idiopathic / diagnostic imaging*
  • Liver / diagnostic imaging*
  • Liver / pathology
  • Male
  • Tomography, X-Ray Computed*

Substances

  • Coproporphyrins
  • coproporphyrin I