Focal fatty liver sparing lesion presenting as a “pseudotumor" : case report
| Journal | Volume 69 - 2006 |
| Issue | Fasc.3 - Case reports |
| Author(s) | Petros Zezos, Presvia Tatsi, Andreas Nakos, Ioannis Pachiadakis, Fotis Kosmatopoulos, Euthimia Zafiriadou, Epaminondas Molyvas, Kalliopi Patsiaoura5 |
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| Departments of (1) Gastroenterology and Hepatology ; (2) Radiology and (4) Pathology, 424 Military General Hospital, Thessaloniki, Greece ; Departments of (3) Radiology and (5) Pathology, Hippokration General Hospital, Thessaloniki, Greece. |
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We are reporting our experience of a case of "focal fatty liver sparing lesion" in a 24-year-old patient, without any evident pre- disposing factors for fatty infiltration of the liver. Fatty liver infil- tration was sparing the posterior part of liver segment VI, defin- ing an area which was mimicking a lesion on US and CT. Fatty liver infiltration is usually diffuse but may be patchy or localized. Occasionally, focal areas of normal parenchyma in an otherwise diffuse fatty liver may simulate mass lesions. Typically, these "pseudolesions" appear as echo-poor areas against a background of bright echoes due to fatty infiltration and may pose a difficult diagnostic problem. We present this case and discuss the investi- gation process in order to differentiate this lesion from a hepatic tumor. (Acta gastroenterol. belg., 2006, 69, 278-281). |
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© Acta Gastro-Enterologica Belgica. |
