Gut Liver.
2008 Dec;2(3):205-208.
Giant Hyperplasia of the Caudate Lobe in a Patient with Liver Cirrhosis: Case Report and Literature Review
- Affiliations
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- 1Division of Gastroenterology, Department of Internal Medicine, Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea. noshin@eulji.ac.kr
- 2Department of Pathology, Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea.
Abstract
- The caudate lobe often exhibits enlargement and nodularity in cases of cirrhosis, which makes differentiation of hepatocellular carcinoma from other mass-like lesions of the caudate lobe difficult in cirrhotic patients. A 12x6 cm mass-like enlargement of the caudate lobe was incidentally found by computed tomography in a 38-year-old man suffering from alcoholic liver cirrhosis. Magnetic resonance imaging, liver colloidal scan, and sonoguided liver biopsy were used for the differential diagnosis. A literature review revealed two case reports, all of which (like ours) presented with an enlarged caudate lobe supplied with blood via a branch of the portal vein. Therefore, in cases of giant hyperplasia of the caudate lobe, confirmation of the caudate lobe blood supply and the enhancement pattern might be important for the differentiation.
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