Document Detail

Levovist ultrasonography imaging in intracystic hemorrhage of simple liver cyst.
MedLine Citation:
PMID:  18205277     Owner:  NLM     Status:  MEDLINE    
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 multiply 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 multiply 4.7 cm multiply 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.
Tomoyuki Akiyama; Masahiko Inamori; Satoru Saito; Hirokazu Takahashi; Masato Yoneda; Koji Fujita; Toshio Fujisawa; Yasunobu Abe; Hiroyuki Kirikoshi; Kensuke Kubota; Michio Ueda; Kuniya Tanaka; Shinji Togo; Norio Ueno; Hiroshi Shimada; Atsushi Nakajima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  14     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-21     Completed Date:  2008-05-20     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  805-7     Citation Subset:  IM    
Division of Gastroenterology, Yokohama city University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan.
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MeSH Terms
Contrast Media*
Cysts / complications,  ultrasonography*
Hemorrhage / etiology,  ultrasonography*
Liver / ultrasonography*
Polysaccharides / diagnostic use*
Ultrasonography / methods*
Reg. No./Substance:
0/Contrast Media; 0/Polysaccharides; 127279-08-7/SHU 508

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