"Pseudotumoral" hepatic pattern in acute alcoholic hepatitis: A case report

Tenca, Andrea; Massironi, Sara; Colli, Agostino; Basilisco, Guido; Conte, Dario; Adinolfi, Luigi E.; Sookoian, Silvia
August 2009
World Journal of Gastroenterology;8/28/2009, Vol. 15 Issue 32, p4070
Academic Journal
Case Study
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.


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