Hepatic cysts encompass a spectrum of clinical etiologies but most are benign, occur rarely, and are usually asymptomatic. Symptomatic cysts may present with abdominal pain, hemorrhage, obstructive jaundice, or a consumptive coagulopathy. The optimal surgical management of hepatic cysts varies depending on the size and location of the lesion, but includes laparoscopic cyst fenestration,1 formal...

Disturbances of liver function tests are common in polymyalgia arteritica, but the underlying liver lesion has not been defined. We report a patient who was demonstrated to have a giant cell arteritis involving both the hepatic and temporal arteries, and we discuss the possibility that such an arteritis involving the hepatic arteries is responsible for the abnormalities of liver function seen i...

UNLABELLED Imaging appearance of cyst-like changes is most frequently described in primary neuroendocrine lesions, especially pancreatic NETs.The imaging finding of a pseudocystic lesion of the liver puts in differential diagnosis many pathologies such as infectious diseases, simple biliary cysts up to biliary cystadenomas and eventually to primary or metastatic malignancies.Primary or metastat...

TRANSHEPATIC INTCBATION, hepaticostomy, has been reported as an excellent palliative procedure for adenocarcinoma of the hepatic ducts. Hepaticostomy has also been advocated for benign strictures of the biliary ducts. Prolonged hepatic intubation has been extensively used at the University of Colorado and has been reported previously. Customary techniques require either resection of the constri...

A 67-year-old man with hepatic cirrhosis caused by alcoholism and with no cardiopulmonary history was admitted for symptoms of hepatic encephalopathy secondary to constipation. The chest X-ray showed a radio-opaque lesion, rounded with regular edges in the left hemithorax that was not present in previous check-ups (Fig. 1). Empirical antibiotic treatment was started due to suspected pneumonia. ...

T he superb liver-to-lesion contrast of MRI and its ability to display the same lesion enhancement patterns as CT combined with its lack of ionizing radiation have led to this modality being widely accepted for assessing the broad spectrum of hepatic abnormalities. Moreover, hepatocyte-specific contrast agents are now available. The differential diagnosis of hypervascular hepatic lesions depend...

Clostridium septicum infections are generally associated with gastrointestinal or hematologic malignancies. We report the first case of hepatic metastases infection with Clostridium septicum that followed alcohol injection of liver lesion. Clinicians should consider this possibility in patients with underlying malignancy who present with hepatic abscess, as prompt surgical drainage and empiric ...

Benign or malignant hepatic lesions may rarely mimic inflammatory lesions on imaging. We describe a case of young adult male presenting with pain abdomen and fever of short duration. Imaging revealed large complex multiseptated lesion in the right lobe of liver. Complicated hydatid cyst was kept as first differential diagnosis depending on clinic-radiologic findings. However, due to few atypica...

We report here the case of a young man suffering from a rare germ cell tumour. The patient was a 25-year-old man who was referred to our centre for asthenia, stinging epigastric pain, and an iron deficiency anaemia. Gastroscopy revealed a circumferential vegetating lesion on the second portion of the duodenum. The lesion was indurated at the third portion of the duodenum, responsible for a tigh...

Nasopharyngeal carcinoma (NPC) with distant metastases has poor prognosis. Metastatic sites are usually multifocal and involve bones, lungs and live. Management of metastatic disease is essentially palliative and is based on chemoradiotherapy. A 48-year-old man with a solitary liver metastasis from a newly diagnosed NPC was treated by segmentectomy. Prior to radiotherapy, neoadjuvant chemothera...