Pedunculated hepatic adenoma

Case contributed by Dr Bruno Di Muzio

Presentation

Patient presented with right upper quadrant abdominal pain. Previous ultrasound study (images not available) showed a mass in right flank that has a liver connection by vascular pedicle.

Patient Data

Age: 32
Gender: Female
CT

CT Abdomen and pelvis

 There is a large hypervascular and encapsulated mass under and connected to the liver.

Case Discussion

The enhancement usually does not persist in adenomas  because of arteriovenous shunting. Larger hepatocellular adenomas may be more heterogeneous than smaller lesions, like this one.

On arterial-phase CT scan it is possible to spot the mass with large penetrating vessels.

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Case information

rID: 14344
Case created: 16th Jul 2011
Last edited: 6th Sep 2015
Inclusion in quiz mode: Included

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