a 36-year-old woman with right upper quadrant abdominal pain since three months previously and no other significant medical history was referred for evaluation of an abdominal mass. upon clinical examination, a large palpable mass in the mid -upper abdominal area was noted. abdominal ultrasound and spiral ct-scan showed a large hepatic mass in the left liver lobe. the patient was referred for t...

Background and Aim: Hepatocellular carcinoma (HCC) constitutes more than 90% of the primary tumor liver; approximately 85% in Cirrhotic background. Significant risk factors for HCC include viral hepatitis, alcoholic liver disease, NAFLD/NASH. Its very rare cystic echinococcosis (CE) to co-exist. Studies have shown that E. granulosus infection promotes proliferation cells by immunomodulation. A...

Insulinoma is a rare neuroendocrine tumour arising from beta cells of pancreatic islets Langerhans. We report case insulinoma presented with vague manifestations, which were undiagnosed for 2 years. The diagnostic evaluation revealed endogenous hyperinsulinism and imaging showed head lesion she underwent the surgery. Due to persisting symptoms, Calcium arterial stimulation hepatic venous sampli...

A 53-year-old man was admitted to our hospital with abdominal pain. He had undergone surgery for a pancreatic pseudocyst related to chronic alcoholic pancreatitis 7 years previously at another hospital. Magnetic resonance imaging (MRI) 3 years later had shown a cystic lesion, 4cm in diameter, at the hepatic hilum, with two small mural nodules. The patient was then lost to follow-up for 3 years....

BACKGROUND Imaging modalities (computed tomography (CT), ultrasonography, and magnetic resonance imaging (MRI)) have only limited ability to distinguish liver focal nodular hyperplasia (FNH) from metastatic liver tumors. Here, we report a patient who underwent surgery for benign FNH that mimicked a liver metastasis from soft tissue sarcoma (STS). CASE PRESENTATION A 23-year-old man with a his...

BACKGROUND This is a case of a solitary hepatic gastrinoma in a 65-year-old male. The patient was diagnosed with Zollinger-Ellison syndrome in 1991. He had negative radiologic and surgical explorations at that time. He was maintained on proton-pump inhibitors for the next 10 years without symptoms. METHODS A computed tomographic (CT) scan done in April 2001 demonstrated a 5-cm right hepatic l...

BACKGROUND Catheter ablation of left-sided atrial arrhythmias generally is performed using a transfemoral venous approach through the inferior vena cava (IVC). In this report, we assessed the feasibility of a percutaneous transhepatic approach to ablation of left-sided atrial arrhythmias in 2 patients with interruption of the IVC. METHODS AND RESULTS Patient 1 had atrial flutter in the settin...

Gadobenate dimeglumine-enhanced magnetic resonance (MR) imaging simultaneously provides both morphological and functional information by the acquisition of dynamic and hepatobiliary-phase imaging. Focal lesions with no functioning hepatocytes, where hepatobiliary metabolism is blocked or inhibited, are generally unable to uptake and excrete gadobenate dimeglumine into the bile. Such lesions are...

Hemangiomas and hepatic metastases are the leading reasons of echogenic masses on ultrasound (US) evaluation of the liver. Lipomas of the liver are extremely rare and have been sporadically reported in the literature during the last century. The present report describes a patient with hepatic lipoma together with liver metastases from gastric adenocarcinoma. A 54 years old woman was refered to ...