CASE 445: LIVER PEDUNCULATED, Dr PHAN THANH HẢI, Dr NGUYỄN PHÚ HỮU, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 33 yo  with epigastric pain  has been treated as  gastritis.

Ultrasound of  abdomen detected  one mass near  the liver border having hypoechoic peduncule from liver,  and changing position with  respiration movement (US1). There is vessel from the liver for peduncule of tumor (US ). In  cross-sectionnal scanning,  this tumor represented its well bordered, solid, hypervascular structure (US 3)

MSCT with CE detected this tumor in  connecting with  the liver by a long peduncule ( CT 1,sagital view) and in  frontal view, this mass is  nearby the  ligamentum falciformis (CT2).

CT 3: cross sectionnal scan of  tumor = well contrasted enhancement.

CT 4: vascular supplying for this tumor is a branch from  left gastric artery and  another one from liver.

Laparoscopic operation  detected  tumor  from  liver  at the border of falciform ligament,  and its structure  like liver tissue.

   Microscopic report  is  liver tissue.

Conclusion: it is a case of liver pedunculated .

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