Hepatic Intracystic Organizing Hematoma Mimicking Biliary Cystadenocarcinoma in a Patient with Polycystic Liver Disease.
Hepatic intracystic hemorrhage is a rare complication of polycystic liver diseases, such as autosomal dominant polycystic kidney disease (ADPKD). A hepatic cyst with mural nodules and septation may suggest the presence of a cystic malignancy, such as biliary cystadenocarcinoma. We herein report a case of hepatic intracystic hematoma with a mural nodule mimicking biliary cystadenocarcinoma in a patient with ADPKD. Hepatic intracystic hemorrhage with a mural nodule is a very rare occurrence. A fat-saturated T1-weighted magnetic resonance image may be useful for making an accurate diagnosis of intracystic hematoma.
Department of Radiology, Okayama University Medical School, Japan.
Takashi
T
Tanaka
Hideo
H
Gobara
Koji
K
Tomita
Takao
T
Hiraki
Takehiro
T
Tanaka
Susumu
S
Kanazawa
D000368:Aged; D001650:Bile Duct Neoplasms / Q000175:diagnosis*; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D003536:Cystadenocarcinoma / Q000175:diagnosis*; D003560:Cysts / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008107:Liver Diseases / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color