Inflammatory hepatic adenoma

Case contributed by Abraão Kupske
Diagnosis certain

Presentation

History of weight loss and abdominal pain.

Patient Data

Age: 30 years
Gender: Female

Liver with normal size and regular contours. It is observed one mass located in segment VIII, measuring 4.2 x 4.2 cm, slightly hypodense compared to the parenchyma in non-contrast phase. It has arterial and venous contrast enhancement, more pronounced in the periphery, with hypodense halo on arterial phase. In delayed phase, it fades away and no washout seen. There are no signs of recent bleeding. Portal and hepatic veins are patent.

Case Discussion

Biopsy showed hepatic adenoma of the inflammatory type (telangiectatic). The patient was instructed to cease using hormonal contraceptives and attend follow-up.

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