Giant cavernous hemangioma coexistent with diffuse hepatic hemangiomatosis presenting as portal vein thrombosis and hepatic lobar atrophy
Ultrasonography
;
: 65-70, 2014.
Article
in English
| WPRIM
| ID: wpr-731032
ABSTRACT
A combination of giant hepatic hemangioma and diffuse hemangiomatosis is extremely rare in adults. Even when they are large, hemangiomas are soft and rarely compress adjacent structures. A 78-year-old man presented with abdominal pain and distension. Ultrasonography, computed tomography, and magnetic resonance imaging demonstrated a large expansile mass replacing the medial segment and caudate lobe with diffusely scattered nodules in the entire liver. The large hilar mass contained a central nonenhancing area and had a mass effect, leading to left portal vein occlusion. The image findings also revealed two unprecedented findings:
left lateral segmental atrophy of the liver and recent portomesenteric vein thrombosis. The hepatic lesions were confirmed with hemangiomas by ultrasonography-guided biopsy. We diagnosed intrahepatic portal vein obstruction caused by a mass effect of giant hepatic hemangioma coexistent with diffuse hemangiomatosis, resulting in hepatic segmental atrophy and extrahepatic portal vein thrombosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Portal Vein
/
Atrophy
/
Thrombosis
/
Veins
/
Biopsy
/
Magnetic Resonance Imaging
/
Abdominal Pain
/
Ultrasonography
/
Venous Thrombosis
/
Hemangioma
Type of study:
Diagnostic study
Limits:
Adult
/
Aged
/
Humans
Language:
English
Journal:
Ultrasonography
Year:
2014
Type:
Article
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