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Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma

This case report describes a rare complication of hepatic adenomata in a 33-year-old female. The patient initially presented with abdominal pain, and baseline imaging demonstrated several hepatic adenomas, the largest of which (approximately 8 cm) was adjacent to the inferior vena cava. Owing to the...

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Detalles Bibliográficos
Autores principales: Foo, Sin Yee, Paul, Laura, Viswanathan, Subra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159147/
https://www.ncbi.nlm.nih.gov/pubmed/30363203
http://dx.doi.org/10.1259/bjrcr.20170056
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author Foo, Sin Yee
Paul, Laura
Viswanathan, Subra
author_facet Foo, Sin Yee
Paul, Laura
Viswanathan, Subra
author_sort Foo, Sin Yee
collection PubMed
description This case report describes a rare complication of hepatic adenomata in a 33-year-old female. The patient initially presented with abdominal pain, and baseline imaging demonstrated several hepatic adenomas, the largest of which (approximately 8 cm) was adjacent to the inferior vena cava. Owing to the location of this adenoma, surgical/vascular intervention was deemed inappropriate. The patient was actively observed for approximately 4 years, and managed supportively during any recurrent episodes. With follow-up CT/MRI scans, the “natural history” of this particular lesion, including haemorrhage, thrombosis and infarction, was observed. However, as intervention was unsuitable, further MRI was performed in view of these complications, allowing observation of the end-stage features of the adenoma. Appearances were consistent with a rare complication of hepatic adenoma, i.e. cystic degeneration, a process well documented in uterine leiomyoma.
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spelling pubmed-61591472018-10-25 Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma Foo, Sin Yee Paul, Laura Viswanathan, Subra BJR Case Rep Case Report This case report describes a rare complication of hepatic adenomata in a 33-year-old female. The patient initially presented with abdominal pain, and baseline imaging demonstrated several hepatic adenomas, the largest of which (approximately 8 cm) was adjacent to the inferior vena cava. Owing to the location of this adenoma, surgical/vascular intervention was deemed inappropriate. The patient was actively observed for approximately 4 years, and managed supportively during any recurrent episodes. With follow-up CT/MRI scans, the “natural history” of this particular lesion, including haemorrhage, thrombosis and infarction, was observed. However, as intervention was unsuitable, further MRI was performed in view of these complications, allowing observation of the end-stage features of the adenoma. Appearances were consistent with a rare complication of hepatic adenoma, i.e. cystic degeneration, a process well documented in uterine leiomyoma. The British Institute of Radiology 2017-11-17 /pmc/articles/PMC6159147/ /pubmed/30363203 http://dx.doi.org/10.1259/bjrcr.20170056 Text en © 2017 The Authors. Published by the British Institute of Radiology http://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Foo, Sin Yee
Paul, Laura
Viswanathan, Subra
Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma
title Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma
title_full Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma
title_fullStr Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma
title_full_unstemmed Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma
title_short Cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma
title_sort cystic degeneration of hepatic adenoma: a rare complication of hepatic adenoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159147/
https://www.ncbi.nlm.nih.gov/pubmed/30363203
http://dx.doi.org/10.1259/bjrcr.20170056
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