Pseudolipoma of the Glisson capsule
Last revised by Dr Jeremy Jones ◉ on 20 Sep 2021
Citation, DOI & article data
Citation:
Morgan, M., Jones, J. Pseudolipoma of the Glisson capsule. Reference article, Radiopaedia.org. (accessed on 11 Aug 2022) https://doi.org/10.53347/rID-31884
Permalink:
rID:
31884
Article created:
03 Nov 2014 by Dr Matt A. Morgan ◉
Revisions:
16 times by 5 users - see full revision history
System:
Sections:
-
Tag:
Synonyms:
- Glisson capsule lipoma
- Hepatic pseudolipoma
- Pseudolipomas of the Glisson capsule
- Hepatic pseudolipomas
Pseudolipoma of the Glisson capsule is an uncommon developmental anomaly in which a piece of colonic epiploic fat becomes ectopically located within the liver capsule.
Radiographic features
CT
- well-circumscribed fat attenuation (-20 to -70 HU) nodule at the liver surface
- it can sometimes have soft tissue attenuation and can have a small peripheral calcification 3
MRI
- well-circumscribed nodule at the liver surface that follows fat signal intensity on all sequences and suppresses with fat saturation
Differential diagnosis
They might be mistaken by peripheral intra-hepatic fat-containing lesions and, therefore, the differential diagnosis would include:
- hepatic lipoma
- hepatic adenoma
- focal hepatic steatosis
- hepatocellular carcinoma
- metastases from lipid-containing tumors like a liposarcoma
- lipopeliosis
- pseudocyst of the Glisson capsule
Other differentials considerations include:
References
- 1. Prasad SR, Wang H, Rosas H et-al. Fat-containing lesions of the liver: radiologic-pathologic correlation. Radiographics. 2005;25 (2): 321-31. Radiographics (full text) - doi:10.1148/rg.252045083 - Pubmed citation
- 2. Podgorska J, Podgorska AGA, Podgorska CA, Podgorska. State-of-the-art MR Imaging of Fat-containing Focal Lesions of the Liver. (2020) Current medical imaging reviews. doi:10.2174/1573405614666171218154838 - Pubmed
- 3. Jun Woo Lee, Suk Kim, Sang Wook Kwack, Chang Won Kim, Tae Yong Moon, Suck Hong Lee, Mong Cho, Dae Hwan Kang, Gwang Ha Kim. Hepatic Capsular and Subcapsular Pathologic Conditions: Demonstration with CT and MR Imaging1. (2008) RadioGraphics. 28 (5): 1307-23. doi:10.1148/rg.285075089 - Pubmed
- 4. Peltier J, et.al. Non-traumatic pseudocyst of Glisson capsule complicating a ventriculoperitoneal shunt. (2011) Neuro-Chirurgie. doi:10.1016/j.neuchi.2009.11.004 - Pubmed
Related articles: Pathology: Hepato-Pancreato-Biliary
- liver
- depositional disorders
- infection and inflammation
- liver abscess
- hepatic hydatid infection
- cirrhosis
- hepatitis
- cholecystitis
- cholangitis
- malignancy
- liver and intrahepatic bile duct tumors
- benign epithelial tumors
- hepatocellular hyperplasia
- hepatocellular adenoma
- hepatic/biliary cysts
- benign nonepithelial tumors
- primary malignant epithelial tumors
- hepatocellular carcinoma
- hepatocellular carcinoma variants
-
cholangiocarcinoma
- intra-hepatic
- mass-forming type
- periductal infiltrating type - Klatskin tumors
- intraductal growing type
- extra-hepatic/large duct type
- intra-hepatic
- biliary cystadenocarcinoma
- combined hepatocellular and cholangiocarcinoma
- hepatoblastoma
- undifferentiated carcinoma
- primary malignant nonepithelial tumors
- hematopoietic and lymphoid tumors
- primary hepatic lymphoma
- hepatic myeloid sarcoma (hepatic chloroma)
- secondary tumors
- miscellaneous
- adrenal rest tumors
- hepatic carcinosarcoma
- hepatic fibroma
- hepatic hemangioma
- hepatic Kaposi sarcoma
- hepatic lipoma
- hepatic mesenchymal hamartoma
- hepatic myxoma
- hepatic rhabdoid tumor
- hepatic solitary fibrous tumor
- hepatic teratoma
- hepatic yolk sac tumor
- inflammatory myofibroblastic tumor (inflammatory pseudotumor)
- nodular regenerative hyperplasia
- pancreatic rest tumors
- primary hepatic carcinoid
- benign epithelial tumors
- liver and intrahepatic bile duct tumors
- metabolic
- trauma
-
vascular and perfusion disorders
- portal vein related
- hepatic artery related
- hepatic veins related
- inferior vena cava related
- other
- third inflow
- liver thrombotic angiitis
- infra diaphragmatic total anomalous pulmonary venous return (TAPVR)
- hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease)
- pancreas
-
pancreatic neoplasms
- cystic neoplasm (cystic pancreatic mass differential diagnosis)
- solid neoplasm
- non-epithelial pancreatic neoplasms
- others
- simple pancreatic cyst
-
pancreatitis (mnemonic for the causes)
- acute pancreatitis
- chronic pancreatitis
- Ascaris-induced pancreatitis
- tropical pancreatitis
- autoimmune pancreatitis
- emphysematous pancreatitis
- hypertriglyceridemia-induced pancreatitis
- hereditary pancreatitis
- pancreatitis associated with cystic fibrosis
- pancreaticopleural fistula
- segmental pancreatitis
- pancreatic atrophy
- pancreatic lipomatosis
- pancreatic trauma
- pancreatic transplant
-
pancreatic neoplasms
- gallbladder and biliary
- congenital malformations and anatomical variants
- gallstones
- gallbladder inflammation
- bile ducts inflammation
- gallbladder wall abnormalities
- other gallbladder abnormalities
- bile duct dilatation (differential)
- bile duct wall thickening (differential)
- bile ducts neoplasms
Unable to process the form. Check for errors and try again.