Giant haemorrhagic hepatic cyst with flame-like morphology in a patient with polycystic kidney and liver disease.
Ultrasound
; 29(3): 187-192, 2021 Aug.
Article
em En
| MEDLINE
| ID: mdl-34567231
ABSTRACT
INTRODUCTION:
Intracystic haemorrhage is a rare complication of hepatic cysts, and is often mistaken for a malignant lesion. CASE REPORT A 55-year-old female with a history of polycystic kidney and liver disease presented with a six-month history of abdominal distension, abdominal pain, early satiety, shortness of breath and 5 kg of weight loss. Imaging revealed a 20 cm mixed solid-cystic hepatic lesion containing peripheral avascular mobile echogenic material with a flame-like morphology. After experiencing symptomatic relief from ultrasound-guided aspiration, the patient underwent cyst fenestration for more definitive treatment.DISCUSSION:
Haemorrhagic hepatic cysts are uncommon and may present on imaging as having lace-like retractile clot, internal layering or shading of separating blood products or avascular mobile flame-like excrescences. The presence of avascular mobile flame-like excrescences appears to be a unique feature of haemorrhagic hepatic cysts.CONCLUSION:
While haemorrhagic hepatic cysts are rare and commonly mistaken for biliary cystadenomas or adenocarcinomas, the identification of particular features on high-resolution magnetic resonance imaging and contrast-enhanced ultrasound can lead to the correct diagnosis.
Texto completo:
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Base de dados:
MEDLINE
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article