In acute alcoholic hepatitis (AAH), a "pseudotumoral" appearance of the liver parenchyma on computed tomography (CT) scan has been reported. The main findings are hypervascularized areas closely similar to those observed in large hepatocellular carcinomas. We report a case of a patient affected by AAH with an unusual appearance of these "pseudotumoral" areas on CT scan, close resembling a metastatic cancer rather than a primary hepatocellular carcinoma. In fact, in contrast with previous reports, the picture was characterized by the presence of many inhomogeneous, hypoattenuated areas highlighted during both pre- and post-contrast phases. Moreover, we report the first description of "pseudotumoral" lesions on ultrasound scan. This patient was successfully treated with corticosteroids, even if many controversies still exist regarding their efficacy in this setting.
"Pseudotumoral” hepatic pattern in acute alcoholic hepatitis : a case report / A. Tenca, S. Massironi, A. Colli, G. Basilisco, D. Conte.. - In: WORLD JOURNAL OF GASTROENTEROLOGY. - ISSN 1007-9327. - 15:32(2009 Aug), pp. 4070-4074.
|Titolo:||"Pseudotumoral” hepatic pattern in acute alcoholic hepatitis : a case report|
TENCA, ANDREA (Primo)
MASSIRONI, SARA (Secondo)
CONTE, DARIO (Ultimo)
|Parole Chiave:||Acute alcoholic hepatitis; Alcoholic liver disease; Computed tomography; Pseudotumoral hepatic lesions; Ultrasound|
|Settore Scientifico Disciplinare:||Settore MED/12 - Gastroenterologia|
|Data di pubblicazione:||ago-2009|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.3748/wjg.15.4070|
|Appare nelle tipologie:||01 - Articolo su periodico|