Arterial embolization of focal nodular hyperplasia of the liver: A case report.

Autor:	Hassine HB; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia., Chaouch MA; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia. Electronic address: docmedalichaouch@gmail.com., Jallali M; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia., Zenati H; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia., Gafsi B; Department of Anesthesia, Monastir University Hospital, Monastir, Tunisia., Noomen F; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Mar; Vol. 116, pp. 109473. Date of Electronic Publication: 2024 Mar 05.
DOI:	10.1016/j.ijscr.2024.109473
Abstrakt:	Introduction and Importance: Focal nodular hyperplasia (FNH) is a benign liver lesion that can pose diagnostic and management dilemmas, especially when distinguishing it from other hypervascular hepatic lesions. The benign nature of FNH often makes conservative management a priority; however, intervention may be necessary in symptomatic cases or when diagnostic uncertainty exists. Case Presentation: A 19-year-old male presenting with abdominal pain, found to have a large 25 cm FNH lesion in the right lobe of the liver. Initial diagnosis was achieved through ultrasonography and contrast-enhanced computed tomography (CECT), with histopathological confirmation via core needle biopsy. Given the lesion's size and the patient's symptomatic presentation, we opted for arterial embolization, a less invasive surgical approach, over traditional resection methods. This technique not only led to symptom resolution but also resulted in a significant reduction in lesion size. Clinical Discussion: Our approach to managing this FNH case involved a multidisciplinary team. The decision to employ arterial embolization over more invasive surgical options was based on the lesion's characteristics, the patient's age, and the potential for significant morbidity associated with traditional surgery. Arterial embolization of the FNH lesion resulted in complete resolution of symptoms and a significant reduction in lesion size, from 25 cm to 12 cm, demonstrating the effectiveness of this technique in managing large FNH lesions. Conclusion: Our findings contribute to the scientific literature by showcasing the potential of less invasive surgical techniques in the management of FNH, offering valuable insights for clinicians faced with similar diagnostic and therapeutic challenges. Competing Interests: Conflict of interest statement The authors declare no competing interest. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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