CT arteriographic confirmation of focal hepatic fatty infiltration adjacent to the falciform ligament associated with drainage of inferior vein of Sappey: a case report

We experienced a case of focal fatty infiltration in the anteromedial edge of the medial segment of the liver adjacent to the falciform ligament associated with advanced esophageal cancer. By using CT during selective right internal thoracic arteriography, we confirmed that the inferior vein of Sappey drained into the area of focal fatty infiltration. This is the first case to directly establish the relationship between drainage of the inferior vein of Sappey and occurrence of focal fatty infiltration of the liver.