Case Report: a rare cause of a hypervascular nodule in a noncirrhotic liver

Ronald Koschny, Michael Allgäuer, Jan Pfeiffenberger, Jessica Seessle, Juri Fuchs, Thomas Longerich, Mark O. Wielpütz, Katrin Hoffmann

PMID: 30641604 DOI: 10.1055/a-0755-2478

Abstract

A 37-year-old male patient with Crohn's disease and multiple liver hemangiomas was referred to our hospital for an atypical hypervascular hepatic lesion detected on an external magnetic resonance imaging (MRI) scan. The patient was otherwise well and had no history of any liver disease. Liver values and tumor markers were normal. Contrast-enhanced ultrasound confirmed multiple hemangiomas in different liver segments and a hypervascular tumor with a hypovascular rim in segment II/IV. Repeat MRI showed a strongly enhancing neoplasm of 2.6 cm with a texture distinctly different from the otherwise relatively uniform hemangiomas, without evidence of interim growth. Ultrasound-guided biopsy revealed a hepatic small vessel neoplasm. Due to the unknown malignant potential, atypical segmental surgical resection was performed. Final histopathological analysis confirmed the complete resection of the lesion. The postoperative course was uneventful.

Z Gastroenterol. 2019 Jan;57(1):57-60. doi: 10.1055/a-0755-2478.