• Andrea Tenca, Sara Massironi, Agostino Colli, Guido Basilisco, and Dario Conte.
• Policlinico, Mangiagalli, Regina Elena Foundation, Gastrointestinal Unit 2 and Postgraduate School of Gastroenterology, Università degli Studi di Milano, F. Sforza st. 35, 20122 Milan, Italy.
• World J. Gastroenterol. 2009 Aug 28; 15 (32): 4070-4.

AbstractIn acute alcoholic hepatitis (AAH), a "pseudotumoral" appearance of the liver parenchyma on computed tomography (CT) scan has been reported. The main findings are hypervascularized areas closely similar to those observed in large hepatocellular carcinomas. We report a case of a patient affected by AAH with an unusual appearance of these "pseudotumoral" areas on CT scan, close resembling a metastatic cancer rather than a primary hepatocellular carcinoma. In fact, in contrast with previous reports, the picture was characterized by the presence of many inhomogeneous, hypoattenuated areas highlighted during both pre- and post-contrast phases. Moreover, we report the first description of "pseudotumoral" lesions on ultrasound scan. This patient was successfully treated with corticosteroids, even if many controversies still exist regarding their efficacy in this setting.

27 keywords...

hide…