Hepatic inflammatory pseudotumor: educational value of an incorrect diagnosis at contrast-enhanced ultrasound

被引:0
作者
Benedetta Guarino
Orlando Catalano
Antonio Corvino
Fabio Corvino
Alfonso Amore
Antonella Petrillo
机构
[1] University Federico II of Napoli (UNINA),Department of Advanced Medical Biosciences, Biostructures and Bioimmages Institution (IBB), National Research Council (CNR)
[2] National Cancer Institute,Department of Radiology
[3] Pascale Foundation,Department of Hepatic Surgery
[4] National Cancer Institute,undefined
[5] Pascale Foundation,undefined
来源
Journal of Medical Ultrasonics | 2015年 / 42卷
关键词
Contrast-enhanced sonography; Hepatic inflammatory pseudotumor; Focal liver lesion; Diagnostic error;
D O I
暂无
中图分类号
学科分类号
摘要
Hepatic inflammatory pseudotumor (IPT) is a rare lesion that is frequently confused with malignant tumors. According to the latest guidelines on contrast-enhanced ultrasound, hypoenhancement of solid lesions in the portal and late phases corresponds to the wash-out phenomenon that characterizes malignancies. IPT may show rapid arterial enhancement and portal or late phase hypoenhancement, falsely suggesting malignancy. We report a case of a diagnostic error in which a multifocal IPT was misdiagnosed as hepatic metastases. The IPT developed after an endoscopic retrograde cholangiography was investigated by close follow-up with CEUS and contrast-enhanced CT.
引用
收藏
页码:547 / 552
页数:5
相关论文
共 26 条
  • [1] Koide H(2006)Spontaneous regression of hepatic inflammatory pseudotumor with primary biliary cirrhosis World J Gastroenterol 14 1645-1648
  • [2] Sato K(1997)Inflammatory pseudotumor of the liver J Clin Pathol 50 352-353
  • [3] Fukusato T(2003)Inflammatory pseudotumor of the liver with target-like appearance Tani Girisim Radyol 9 75-77
  • [4] Kafeel G(2006)Inflammatory pseudotumor of the liver treated by hepatic resection: a case report Yonsei Med J 47 14-30
  • [5] Telesinghe PU(2013)Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS) in the liver—update 2012: a WFUMB-EFSUMB initiative in cooperation with representatives of AFSUMB, AIUM, ASUM, FLAUS and ICUS Ultraschall Med 34 11-29
  • [6] Isin S(2010)Value of contrast-enhanced ultrasonography in assessing the vascularity of liver metastases: comparison with contrast-enhanced computed tomography J Ultrasound Med 29 1403-1410
  • [7] Baykara M(2010)Hypervascular liver masses on contrast-enhanced ultrasound: the importance of wash out AJR 194 977-983
  • [8] Coskun A(2009)A benign tumor of the liver mimicking malignant liver disease—cholangiocellular adenoma Scand J Gastroenterol 44 633-636
  • [9] Kim Y(2014)The analysis of enhancement pattern of hepatic inflammatory pseudotumor on contrast-enhanced ultrasound Abdom Imaging 39 168-174
  • [10] Lee J(undefined)undefined undefined undefined undefined-undefined