The contribution of ultrasound in the diagnostic pathway of a symptomatic hepatocellular adenoma arising from ectopic liver.

Autor: Vanigli N; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy. nicholas.vanigli@studio.unibo.it., Melotti L; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., Dussias N; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., Sanna Passino A; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., Mazzotta E; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., De Molo C; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., Gentilini L; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., Poggioli G; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., Gionchetti P; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy., Rizzello F; University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy.
Jazyk: angličtina
Zdroj: Journal of ultrasound [J Ultrasound] 2024 Feb 23. Date of Electronic Publication: 2024 Feb 23.
DOI: 10.1007/s40477-024-00872-1
Abstrakt: Ectopic liver (EL) is a rare congenital anomaly characterized by the presence of a mass composed of hepatic tissue localized in a different anatomical location with no connection to the native liver. Usually an incidental finding, EL can rarely cause symptoms such as abdominal pain due to torsion, intraperitoneal bleeding, compression, obstruction, or neoplastic transformation, both benign and malignant. EL is often suspected after instrumental investigations such as ultrasound, CT and MRI, however a definitive diagnosis is necessarily bioptic. Here we report a case of a 22-year-old Italian female patient with acute abdominal pain, who underwent abdominal ultrasound, CEUS with Sonovue®, CT scan and ultrasound-guided biopsy which raised the suspicion of hepatocellular adenoma (H-HCA). After a laparoscopic excision of the lesion a diagnosis of H-HCA was formulated.
(© 2024. The Author(s).)
Databáze: MEDLINE