Flash filling hepatic haemangioma

Case contributed by Dr Avni K P Skandhan

Presentation

Patient came for evaluation of a chronic PUJ obstruction

Patient Data

Age: 80
Gender: Male

In the arterial phase there is a brilliantly, homogenously enhancing lesion in left lobe of liver suggestive of flash filling haemangioma. No secondary evidence of chronic liver disease. Ultrasound correlation shows a hyperechoic lesion. Note is also made of right PUJ obstruction.

Case Discussion

Normally the classical enhancement pattern of haemangiomas is a gradual centripetal, nodular filling of the lesions. However certain small hemangiomas may show a fast and  homogeneous enhancement on the arterial phase itself, thus the name "flash filling" haemangioma.

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Case information

rID: 25566
Case created: 30th Oct 2013
Last edited: 2nd Nov 2016
Inclusion in quiz mode: Included

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