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Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy

Focal nodular hyperplasia (FNH) is the second most common intrahepatic benign mass lesion; however, extremely rarely, FNH grows in an exophytic manner. It is unclear whether pedunculated FNH can be managed in the same way as intrahepatic FNH. A 35-year-old female presented with right upper quadrant...

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Autores principales: Akaguma, Ai, Ishii, Takamichi, Uchida, Yoichiro, Chigusa, Yoshitsugu, Ueda, Yusuke, Mandai, Masaki, Mogami, Haruta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10292637/
https://www.ncbi.nlm.nih.gov/pubmed/37377714
http://dx.doi.org/10.1093/omcr/omad054
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author Akaguma, Ai
Ishii, Takamichi
Uchida, Yoichiro
Chigusa, Yoshitsugu
Ueda, Yusuke
Mandai, Masaki
Mogami, Haruta
author_facet Akaguma, Ai
Ishii, Takamichi
Uchida, Yoichiro
Chigusa, Yoshitsugu
Ueda, Yusuke
Mandai, Masaki
Mogami, Haruta
author_sort Akaguma, Ai
collection PubMed
description Focal nodular hyperplasia (FNH) is the second most common intrahepatic benign mass lesion; however, extremely rarely, FNH grows in an exophytic manner. It is unclear whether pedunculated FNH can be managed in the same way as intrahepatic FNH. A 35-year-old female presented with right upper quadrant pain, and dynamic enhanced computed tomography revealed an exophytic hyperdense mass lesion originating from the liver, suggesting a pedunculated FNH. Shortly thereafter, she conceived. Since there was a history of acute abdomen, as well as the possibility of torsion of the mass or sudden massive bleeding during pregnancy, laparoscopic resection was performed at 17 weeks of gestation. Her postoperative and pregnancy course was uneventful, and she delivered a baby by cesarean section at 41 weeks of gestation. Our case suggests that pedunculated FNH, unlike typical intrahepatic FNH, may be better managed by laparoscopic surgery during pregnancy, resulting in favorable maternal and fetal outcomes.
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spelling pubmed-102926372023-06-27 Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy Akaguma, Ai Ishii, Takamichi Uchida, Yoichiro Chigusa, Yoshitsugu Ueda, Yusuke Mandai, Masaki Mogami, Haruta Oxf Med Case Reports Case Report Focal nodular hyperplasia (FNH) is the second most common intrahepatic benign mass lesion; however, extremely rarely, FNH grows in an exophytic manner. It is unclear whether pedunculated FNH can be managed in the same way as intrahepatic FNH. A 35-year-old female presented with right upper quadrant pain, and dynamic enhanced computed tomography revealed an exophytic hyperdense mass lesion originating from the liver, suggesting a pedunculated FNH. Shortly thereafter, she conceived. Since there was a history of acute abdomen, as well as the possibility of torsion of the mass or sudden massive bleeding during pregnancy, laparoscopic resection was performed at 17 weeks of gestation. Her postoperative and pregnancy course was uneventful, and she delivered a baby by cesarean section at 41 weeks of gestation. Our case suggests that pedunculated FNH, unlike typical intrahepatic FNH, may be better managed by laparoscopic surgery during pregnancy, resulting in favorable maternal and fetal outcomes. Oxford University Press 2023-06-26 /pmc/articles/PMC10292637/ /pubmed/37377714 http://dx.doi.org/10.1093/omcr/omad054 Text en © The Author(s) 2023. Published by Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Akaguma, Ai
Ishii, Takamichi
Uchida, Yoichiro
Chigusa, Yoshitsugu
Ueda, Yusuke
Mandai, Masaki
Mogami, Haruta
Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
title Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
title_full Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
title_fullStr Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
title_full_unstemmed Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
title_short Laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
title_sort laparoscopic resection for pedunculated focal nodular hyperplasia of the liver during pregnancy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10292637/
https://www.ncbi.nlm.nih.gov/pubmed/37377714
http://dx.doi.org/10.1093/omcr/omad054
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