Levovist ultrasonography imaging in intracystic hemorrhage of simple liver cyst.
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.
Akiyama
Tomoyuki
T
Division of Gastroenterology, Yokohama city University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan. inamorim@med.yokohama-cu.ac.jp
Inamori
Masahiko
M
Saito
Satoru
S
Takahashi
Hirokazu
H
Yoneda
Masato
M
Fujita
Koji
K
Fujisawa
Toshio
T
Abe
Yasunobu
Y
Kirikoshi
Hiroyuki
H
Kubota
Kensuke
K
Ueda
Michio
M
Tanaka
Kuniya
K
Togo
Shinji
S
Ueno
Norio
N
Shimada
Hiroshi
H
Nakajima
Atsushi
A
D000368:Aged; D003287:Contrast Media; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging*; D011134:Polysaccharides; D014463:Ultrasonography / Q000379:methods*
D003287:Contrast Media; D011134:Polysaccharides; C059891:SHU 508