Atypical MRI features of a biliary cystadenoma revealed by jaundice.
We report on the case of a patient admitted for epigastric pain. An abdominal ultrasound revealed a voluminous cystic lesion of the left hepatic lobe. In magnetic resonance imaging, the mass had a liquid-liquid level that was spontaneously hyperintense on T(1)-weighted images and hypointense on T(2)-weighted images. Magnetic resonance cholangiography identified bilateral intrahepatic bile duct dilatation. A left hepatectomy finally revealed a mucinous cystadenoma with pseudo-ovarian stroma that had a pedunculated intraductal extension to the biliary convergence.
Baudin
Guillaume
G
Service d'Imagerie Médicale, Centre Hospitalier Régional et Universitaire de Nice, Hôpital Archet 2, F-06202 Nice Cedex 3, France. baudin.guillaume@gmail.com
Novellas
Sébastien
S
Buratti
Massimo Senni
MS
Saint-Paul
Marie Christine
MC
Chevallier
Patrick
P
Gugenheim
Jean
J
Bruneton
Jean Noël
JN
D000328:Adult; D001650:Bile Duct Neoplasms / Q000150:complications* / Q000175:diagnosis*; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology; D003537:Cystadenoma / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007565:Jaundice / Q000175:diagnosis / Q000209:etiology*; D008113:Liver Neoplasms / Q000150:complications* / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging / Q000379:methods