A case of focal nodular hyperplasia with hepatic failure treated with liver transplantation
| Autor: | Hideki Onishi, Hidenori Shiraha, Akinobu Takaki, Tetsuya Yasunaka, Takuya Adachi, Fukuo Kondo, Yasuto Takeuchi, Nozomu Wada, Atsushi Oyama, Tomoharu Yoshizumi, Hiroyuki Okada, Kenichi Kohashi |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Pathology medicine.medical_specialty medicine.medical_treatment Liver transplantation Scintigraphy Lesion Biopsy medicine Humans Hyperplasia medicine.diagnostic_test business.industry Liver Neoplasms Gastroenterology Focal nodular hyperplasia Nodule (medicine) General Medicine medicine.disease Liver Transplantation Liver Focal Nodular Hyperplasia Angiography Portal hypertension Female medicine.symptom business Liver Failure |
| Zdroj: | Clinical Journal of Gastroenterology. 15:171-176 |
| ISSN: | 1865-7265 1865-7257 |
| Popis: | Focal nodular hyperplasia (FNH) is a benign nodular lesion, but because of its feature of portal tract vessel abnormality, it may induce portal hypertension. A 27-year-old woman was admitted with a fever. A large nodule with satellite lesions was found in the liver and cotton wool-like feature of arteries were detected on angiography. Technetium galactosyl serum albumin scintigraphy and diagnostic laparoscopy showed that the tumor site was functional, while the surrounding area was a non-functional fibrotic area. A biopsy specimen indicated that the nodular lesion was an FNH-like lesion. She experienced several instances of variceal rupture and suffered liver failure, receiving liver transplantation. The excised liver showed a centrally scarred area in the nodule, indicating that the diagnosis was FNH. We herein report this case as a rare case of FNH that progressed to liver failure. |
| Databáze: | OpenAIRE |
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