世界胃肠病学杂志（英文版）
世界胃腸病學雜誌（英文版）
세계위장병학잡지（영문판）
WORLD JOURNAL OF GASTROENTEROLOGY
2008年
5期
805-807
,共3页
Liver cyst%Cystadenocarcinoma%Simple cyst%Galactose acid palmitique%Levovist
The differential diagnosis between intracystic hemorrhage and cystadenocarcinoma of the liver is often difficult even with the use of various imaging modalities.A 73-year-old woman was admitted to our hospital with the complaint of right upper quadrant pain.Ultrasonography (US) demonstrated a heterogeneous echogenic cyst measuring 11 cm × 8 cm in size in S2 of the liver,indicated intracystic hemorrhage of simple liver cyst or cystadenocarcinoma,but the differential diagnosis was considerably difficult.Levovist (Schering,Berlin,Germany) US revealed no enhancement of the intracystic structures,suggesting a clot in the case of intracystic hemorrhage.An operation was performed and the resected lesion showed a solitary benign liver cyst,measuring 5.5 cm × 4.7 cm × 8.5 cm containing a large blood clot.The patient had an uneventful recovery after the surgery.Levovist US may play an important role in discrimination between intracystic hemorrhage of simple hepatic cysts and cystadenocarcinoma of the liver.
