TY - JOUR
T1 - "Pseudotumoral" hepatic pattern in acute alcoholic hepatitis
T2 - A case report
AU - Tenca, Andrea
AU - Massironi, Sara
AU - Colli, Agostino
AU - Basilisco, Guido
AU - Conte, Dario
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
KW - Acute alcoholic hepatitis
KW - Alcoholic liver disease
KW - Computed tomography
KW - Pseudotumoral hepatic lesions
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=70949097629&partnerID=8YFLogxK
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U2 - 10.3748/wjg.15.4070
DO - 10.3748/wjg.15.4070
M3 - Article
C2 - 19705506
AN - SCOPUS:70949097629
VL - 15
SP - 4070
EP - 4074
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
SN - 1007-9327
IS - 32
ER -