Atypical exophytic liver mass: Giant pedunculated hepatic haemangioma masquerading as a gastrointestinal stromal tumour of the gastric wall

SA Journal of Radiology

 
 
Field Value
 
Title Atypical exophytic liver mass: Giant pedunculated hepatic haemangioma masquerading as a gastrointestinal stromal tumour of the gastric wall
 
Creator Krishnan, Venkatram Bajaj, Sunil K. Sethy, Abhilash Gupta, Neetika
 
Subject hepatobiliary radiology hemangioma; giant hemangioma; pedunculated hemangioma; lesser sac hemangioma; exophytic liver mass
Description Haemangioma is the most common benign tumour of the liver. However, an exophytic hepatic haemangioma, especially the pedunculated form, is very rare. Giant pedunculated haemangiomas are prone to complications because of the narrow size of the pedicle. A large number of lesions can potentially present as exophytic liver masses, and accurate diagnosis can sometimes be challenging. We report a case of an incidentally discovered asymptomatic giant pedunculated liver haemangioma in the region of the lesser sac in a prospective renal donor, which was initially suspected to be a gastrointestinal stromal tumour of the stomach wall. Multiphasic computed tomography and confirmatory magnetic resonance imaging scans ultimately revealed the true nature of the lesion, which turned out to be an exophytic pedunculated hepatic haemangioma from the left lobe of the liver. The lesion was then surgically resected and histopathologically confirmed to be a haemangioma. The patient subsequently underwent successful renal donation as planned. Being a benign lesion with characteristic imaging features, accurate radiological diagnosis is absolutely essential for the appropriate management of such atypical haemangiomas.
 
Publisher AOSIS
 
Contributor
Date 2019-03-18
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — case report
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/sajr.v23i1.1697
 
Source South African Journal of Radiology; Vol 23, No 1 (2019); 7 pages 2078-6778 1027-202X
 
Language eng
 
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https://sajr.org.za/index.php/sajr/article/view/1697/2216 https://sajr.org.za/index.php/sajr/article/view/1697/2215 https://sajr.org.za/index.php/sajr/article/view/1697/2217 https://sajr.org.za/index.php/sajr/article/view/1697/2214
 
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Rights Copyright (c) 2019 Venkatram Krishnan, Sunil Kumar Bajaj, Abhilash Sethy, Neetika Gupta https://creativecommons.org/licenses/by/4.0
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