The differential diagnosis between intracystic hemorrhage and cystadenocarcinoma of the liver is often difficult even with the use of various imaging modalities. A 73-year-old woman was admitted to our hospital with the complaint of right upper quadrant pain. Ultrasonography (US) demonstrated a heterogeneous echogenic cyst measuring 11 cm multiply 8 cm in size in S2 of the liver, indicated intracystic hemorrhage of simple liver cyst or cystadenocarcinoma, but the differential diagnosis was considerably difficult. Levovist (Schering, Berlin, Germany) US revealed no enhancement of the intracystic structures, suggesting a clot in the case of intracystic hemorrhage. An operation was performed and the resected lesion showed a solitary benign liver cyst, measuring 5.5 cm multiply 4.7 cm multiply 8.5 cm containing a large blood clot. The patient had an uneventful recovery after the surgery. Levovist US may play an important role in discrimination between intracystic hemorrhage of simple hepatic cysts and cystadenocarcinoma of the liver.
Levovist ultrasonography imaging in intracystic hemorrhage of simple liver cyst. Publishing Authors By Initials
Levovist ultrasonography imaging in intracystic hemorrhage of simple liver cyst. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: World journal of gastroenterology : WJG
VOLUME: 14
Page Numbers: 805-7
Journal Abbreviation: World J. Gastroenterol.
ISSN: 1007-9327
DAY: 7
MONTH: Feb
YEAR: 2008
Levovist ultrasonography imaging in intracystic hemorrhage of simple liver cyst. Information
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LANGUAGE: eng
NlmUniqueID: 100883448
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Grant and Affiliation Information for Levovist ultrasonography imaging in intracystic hemorrhage of simple liver cyst.
AFFILIATION: Division of Gastroenterology, Yokohama city University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. inamorim@med.yokohama-cu.ac.jp.
Country: China
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MEDLINETA: World J Gastroenterol
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