Hepatic adenoma (complicated by haemorrhage)

Case contributed by Dr Matt A. Morgan

Presentation

Rapid onset of exquisite right upper quadrant pain.

Patient Data

Age: 35-40Y
Gender: Male

Abdominal MRI

Modality: MRI

Lobulated right hepatic lobe lesion, predominately in segments 7 and 8. The lesion has areas that are mildly hyperintense to liver on precontrast T1-weighted imaging compatible with hemorrhage. 

No gross lipid content within the lesion. There is mild diffuse hepatic steatosis.

No morphologic findings of cirrhosis. No hemoperitoneum.  

Pre and postcontrast dynamic sequences

Modality: MRI

Lobular arterially enhancing mass in the right hepatic lobe, predominantly involving segments 8 and 7. It fades to background signal intensity on delayed sequences. No washout or pseudocapsule formation

Case Discussion

The patient underwent a right hepatectomy: diagnosis was hepatic adenoma, compatible with the MRI imaging appearance.

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Case Information

rID: 42155
Case created: 8th Jan 2016
Last edited: 28th Dec 2016
Inclusion in quiz mode: Included

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