Sonazoid-Enhanced Ultrasonography and Ga-EOB-DTPA-Enhanced MRI of Hepatic Inflammatory Pseudotumor: A Case Report

  • Saito Masaya
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
  • Seo Yasushi
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
  • Yano Yoshihiko
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan Center for Infectious Diseases, Kobe University Graduate School of Medicine, Japan
  • Miki Akira
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
  • Morinaga Yukiko
    Division of Diagnostic Pathology, Department of Pathology, Kobe University Graduate School of Medicine, Japan
  • Itoh Tomoo
    Division of Diagnostic Pathology, Department of Pathology, Kobe University Graduate School of Medicine, Japan
  • Yoshida Masaru
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan Division of Metabolomics Research, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
  • Azuma Takeshi
    Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan

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抄録

A liver neoplasm was found in a 63-year-old man with alcoholic liver disease. Sonazoid-enhanced ultrasonography (US) showed that the neoplasm was isoechoic at the early vascular phase and hypoechoic at the post-vascular phase. Gadolinium ethoxybenzyl-diethylenetriamine-enhanced magnetic resonance imaging (MRI) showed that the neoplasm was hypointense at the hepatobiliary phase. We suspected that it was a malignant tumor. By needle biopsy, however, the neoplasm was diagnosed as an inflammatory pseudotumor (IPT). We encountered a rare case of hepatic IPT, the differential diagnosis of which was difficult to distinguish from malignant tumor. Here, we report new US and MRI findings of hepatic IPT.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 51 (7), 723-726, 2012

    一般社団法人 日本内科学会

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