A Case of Anoxic Pseudolobular Necrosis of the Liver Associated with Cirrhosis

Kim, Dong Jun; Baik, Gwang Ho; Koh, Moon Soo; Han, Sang Jin; Jeong, Eui Hun; Kim, Myung Bin; Yoon, Dong Seok; Chang, Woong Ki

Abstract

The common space-occupying lesions of the liver associated witb cirrhosis are hepatocellular carcinoma, regenerating nodule, simple liver cyst, hepatic necrosis, and abscess. The differential diagnosis of hepatocellular carcinoma from other lesions is important for its treatment and prognosis. Anoxic pseudolobular necrosis of the liver associated with cirrhosis resembles hepatocellular carcinoma in view of clinical and radiological findings. Clinical diagnosis may depend on biopsy, although differentiation between this lesion and necrotic hepatocellular carcinoma may be difficult. A 55-year-old man was admitted with bematemsis and melena. Radiologic examination showed small, round space occupying lesions of the liver. These lesions resembled necrotic hepatocellular carcinoma. We diagnosed this lesions as anoxic pseudolobular necrosis of liver by repeated biopsies. We report this case because of its similarity with necrotic hepatocellular carcinoma in view of radiologic findings and its rarity.