3.Inflammatory Pseudotumor of the Liver Treated by Hepatic Resection: A Case Report.
Young Wan KIM ; Jae Gil LEE ; Kyung Sik KIM ; Dong Sub YOON ; Woo Jung LEE ; Byung Ro KIM ; Eun Ah SHIN ; Young Nyun PARK ; Jin Sub CHOI
Yonsei Medical Journal 2006;47(1):140-143
Inflammatory pseudotumor (IPT) of the liver is rare benign tumor. When the diagnosis of IPT is established with biopsy, simple observation or conservative therapy is preferred because of the possibility of regression. But IPT is unresponsive to the conservative treatment, surgical resection should be considered. We experienced a 63-year-old male, who was suspected hepatocellular carcinoma in abdominal computed tomography (CT) and magnetic resonance image (MRI) scan, presented with 2-month history of intermittent fever and weight loss. Percutaneous ultrasound guided core biopsy confirmed IPT of the liver. Non-steroidal anti-inflammatory drugs and antibiotics were administered for 8 and 4 weeks, respectively, but fever continued. So, extended right hepatectomy was performed for IPT of the liver and then fever subsided. The patient remains well during a follow-up period of 12 months.
Middle Aged
;
Male
;
Magnetic Resonance Imaging
;
Liver Diseases/*diagnosis/pathology/*surgery
;
Liver/pathology/surgery
;
Humans
;
*Hepatectomy
;
Granuloma, Plasma Cell/*diagnosis/pathology/*surgery
;
Diagnosis, Differential
4.Solitary necrotic nodule of the liver.
Zhong ZUO ; Jin-feng ZHANG ; Feng-xian TANG ; Liang FENG
Chinese Journal of Pathology 2006;35(5):317-317
Adenocarcinoma
;
complications
;
pathology
;
surgery
;
Aged
;
Colectomy
;
methods
;
Colonic Neoplasms
;
complications
;
pathology
;
Diagnosis, Differential
;
Female
;
Hepatectomy
;
methods
;
Humans
;
Liver
;
pathology
;
surgery
;
Liver Diseases
;
complications
;
pathology
;
surgery
;
Necrosis
6.Multiple Pyogenic Liver Abscesses Caused by Microperforation of an Idiopathic Cecal Ulcer.
Dong Han YEOM ; Ki Chang SOHN ; Min Su CHU ; Dong Ho JO ; Eun Young CHO ; Haak Cheoul KIM
The Korean Journal of Gastroenterology 2016;67(1):44-48
Idiopathic cecal ulcer is a rare disease entity of unknown cause diagnosed by ruling out other known causes of cecal ulceration. The most common complication of an idiopathic cecal ulcer is bleeding; perforation, peritonitis, abscess, and stricture formation have been noted. The authors treated a 53-year-old woman who presented with fever and intermittent right upper quadrant abdominal pain. Multiple pyogenic liver abscess and a solitary cecal ulcer were diagnosed by radiologic, endoscopic, and pathologic examination, followed by laparoscopic cecectomy. After extensive study, we concluded that this patient's liver abscesses were a complication of the idiopathic cecal ulcer. Herein, we report a case of multiple pyogenic liver abscess caused by microperforation of idiopathic cecal ulcer.
Cecal Diseases/complications/*diagnosis/surgery
;
Colonoscopy
;
Female
;
Humans
;
Laparoscopy
;
Liver/pathology
;
Liver Abscess, Pyogenic/*diagnosis/etiology
;
Middle Aged
;
Tomography, X-Ray Computed
;
Ulcer/complications/*diagnosis/surgery
8.A Case of Hepatocellular Carcinoma Presented as a Huge Intrahepatic Hematoma.
Won Sang YOO ; Nam Hee KIM ; Min Ho KANG ; Se Young YUN ; Suk Bae KIM ; Jung Eun SHIN ; Yun Chan PARK ; Il Han SONG
The Korean Journal of Gastroenterology 2008;51(6):385-390
Spontaneous intrahepatic bleeding is a rare condition. In the absence of trauma, intrahepatic hematoma may be due to underlying liver disease. We report a case of hepatocellular carcinoma in the patient who had huge intrahepatic hematoma without definite intrahepatic tumor at the time of initial presentation. A 54-year-old man was admitted to our hospital with a sudden onset of upper abdominal pain. Initial abdominal CT scan showed huge hematoma measuring more than 13 cm in diameter in the right lobe of the liver. However, there was no enhancing lesion in the liver. Laboratory data showed high alanine aminotransferase, alpha-fetoprotein and positive HBsAg. The MRI and angiography could not also depict any mass in the liver. The patient was treated with percutaneous drainage on the intrahepatic hematoma. The cytology from drainaged blood revealed no malignant cell. After hematoma decreased, follow-up CT scan depicted an enhancing tumor in the liver. He underwent right hepatic lobectomy and histopathological examination showed hepatocellular carcinoma.
Carcinoma, Hepatocellular/*diagnosis/pathology/surgery
;
Hematoma/*diagnosis/etiology
;
Humans
;
Liver Diseases/*diagnosis/etiology
;
Liver Neoplasms/*diagnosis/pathology/surgery
;
Magnetic Resonance Angiography
;
Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Tomography, X-Ray Computed
10.Magnetic resonance imaging for diagnosis of mid- and long-term complication after liver transplantation.
Journal of Southern Medical University 2006;26(5):651-653
OBJECTIVETo assess the value of magnetic resonance imaging (MRI) in mid- and long-term complication monitoring after liver transplantation.
METHODSTwenty-one recipients receiving orthotropic liver transplantation between Feb 2003 and May 2005 were enrolled in this study. FLASH T(1)-weighted, T(2)-weighted fast spin echo, T(2)-weighted fat suppression, dynamic gadolinium-enhanced, MR cholangiopancreatography (MRCP) and three-dimensional dynamic gadolinium-enhanced FISP MRA images were obtained.
RESULTSOf the 21 patients, bile duct complications were detected in all cases and liver arterial and venous complications in 8 cases. Liver cancer relapse occurred in 5 cases and allograft failure in 4.
CONCLUSIONMR imaging allows effective monitoring of mid- and long-term complications of liver transplantation, which provides valuable clues for their clinical treatment.
Adult ; Arterial Occlusive Diseases ; diagnosis ; etiology ; Bile Duct Diseases ; diagnosis ; etiology ; Female ; Hepatic Artery ; diagnostic imaging ; pathology ; Humans ; Liver Cirrhosis ; surgery ; Liver Neoplasms ; surgery ; Liver Transplantation ; adverse effects ; Magnetic Resonance Imaging ; methods ; Male ; Middle Aged ; Radiography ; Reproducibility of Results ; Sensitivity and Specificity