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Vanigli N, Melotti L, Dussias N, Sanna Passino A, Mazzotta E, De Molo C, Gentilini L, Poggioli G, Gionchetti P, Rizzello F. The contribution of ultrasound in the diagnostic pathway of a symptomatic hepatocellular adenoma arising from ectopic liver. J Ultrasound 2024:10.1007/s40477-024-00872-1. [PMID: 38393453 DOI: 10.1007/s40477-024-00872-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Accepted: 01/08/2024] [Indexed: 02/25/2024] Open
Abstract
Ectopic liver (EL) is a rare congenital anomaly characterized by the presence of a mass composed of hepatic tissue localized in a different anatomical location with no connection to the native liver. Usually an incidental finding, EL can rarely cause symptoms such as abdominal pain due to torsion, intraperitoneal bleeding, compression, obstruction, or neoplastic transformation, both benign and malignant. EL is often suspected after instrumental investigations such as ultrasound, CT and MRI, however a definitive diagnosis is necessarily bioptic. Here we report a case of a 22-year-old Italian female patient with acute abdominal pain, who underwent abdominal ultrasound, CEUS with Sonovue®, CT scan and ultrasound-guided biopsy which raised the suspicion of hepatocellular adenoma (H-HCA). After a laparoscopic excision of the lesion a diagnosis of H-HCA was formulated.
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Affiliation(s)
- Nicholas Vanigli
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy.
| | - Laura Melotti
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Nikolas Dussias
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Amalia Sanna Passino
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Elena Mazzotta
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Chiara De Molo
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Lorenzo Gentilini
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Gilberto Poggioli
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Paolo Gionchetti
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
| | - Fernando Rizzello
- University Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, IRCCS Azienda Ospedaliero, Universitaria Di Bologna Policlinico Di Sant'Orsola, Bologna, Italy
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