Skip to main content
Log in

Hepatic angiomyolipoma: identification of an efferent vessel as a hepatic vein by contrast-enhanced harmonic sonography

  • CASE REPORT
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

Two cases of hepatic angiomyolipoma were studied by contrast-enhanced harmonic sonography. The special tumor hemodynamics, namely the efferent blood flow of the hepatic angiomyolipoma draining into the hepatic vein, were clearly shown on harmonic imaging, and they corresponded well with those seen on angiography and computed tomography during angiography. Benign hepatic tumors were diagnosed preoperatively in both cases according to the hemodynamic findings. Hepatic angiomyolipoma was finally identified histologically. The special tumor hemodynamics might be one of the important characteristics of hepatic angiomyolipoma. Contrast-enhanced harmonic sonography is useful for the detection of special tumor hemodynamics and may facilitate the differential diagnosis from other hepatic tumors, especially malignant liver tumors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. M Kudo T Okuno S Tomita et al. (1993) ArticleTitleHepatic angiomyolipoma pre-operatively diagnosed by imaging J Gastroenterol Hepatol 8 483–8 Occurrence Handle8218999 Occurrence Handle1:STN:280:ByuD3szitFw%3D

    PubMed  CAS  Google Scholar 

  2. JC Chang YW Lee HJ Kim (1994) ArticleTitlePreoperative diagnosis of angiomyolipoma of the liver Abdom Imaging 19 546–8 Occurrence Handle7820030 Occurrence Handle10.1007/BF00198260 Occurrence Handle1:STN:280:ByqC3MbovV0%3D

    Article  PubMed  CAS  Google Scholar 

  3. T Ahmadi Y Itai M Takahashi et al. (1998) ArticleTitleAngiomyolipoma of the liver: significance of CT and MR dynamic study Abdom Imaging 23 520–6 Occurrence Handle9841067 Occurrence Handle10.1007/s002619900391 Occurrence Handle1:STN:280:DyaK1czpslSruw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  4. G Ascenti M Gaeta G Zimbaro et al. (2000) ArticleTitleUS power Doppler of hepatic angiomyolipoma with low fat content Eur Radiol 10 935–7 Occurrence Handle10879706 Occurrence Handle10.1007/s003300051040 Occurrence Handle1:STN:280:DC%2BD3cvotFGhtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  5. P Bergeron VL Oliva G Lalonde et al. (1994) ArticleTitleLiver angiomyolipoma: classic and unusual presentations Abdom Imaging 19 543–5 Occurrence Handle7820029 Occurrence Handle10.1007/BF00198259 Occurrence Handle1:STN:280:ByqC3MbovVw%3D

    Article  PubMed  CAS  Google Scholar 

  6. ZD Goodman KG Ishak (1984) ArticleTitleAngiomyolipoma of the liver Am J Surg Pathol 8 745–50 Occurrence Handle6496843 Occurrence Handle1:STN:280:BiqD2cvkvVU%3D

    PubMed  CAS  Google Scholar 

  7. A Nonomura Y Mizukami N Takayanagi et al. (1996) ArticleTitleImmunohistochemical study of hepatic angiomyolipoma Pathol Int 46 24–32 Occurrence Handle10846546 Occurrence Handle1:STN:280:DC%2BD3czgsF2jsw%3D%3D

    PubMed  CAS  Google Scholar 

  8. M Kudo (1998) ArticleTitleMorphological diagnosis of hepatocellular carcinoma: special emphasis on intranodular hemodynamic imaging Hepatogastroenterology 45 1226–31 Occurrence Handle9730379

    PubMed  Google Scholar 

  9. K Ueda O Matsui Y Kawamori et al. (1998) ArticleTitleHypervascular hepatocellular carcinoma: evaluation of hemodynamics with dynamic CT during hepatic arteriography Radiology 206 161–6 Occurrence Handle9423667 Occurrence Handle1:STN:280:DyaK1c%2FosFOhtw%3D%3D

    PubMed  CAS  Google Scholar 

  10. A Toyosaka E Okamoto M Mitsunobu et al. (1996) ArticleTitleIntrahepatic metastases in hepatocellular carcinoma: evidence for spread via the portal vein as an efferent vessel Am J Gastroenterol 91 1610–5 Occurrence Handle8759671 Occurrence Handle1:STN:280:BymA383hvVU%3D

    PubMed  CAS  Google Scholar 

  11. H Ding M Kudo H Onda et al. (2001) ArticleTitleContrast-enhanced subtraction harmonic sonography for evaluating treatment response in patients with hepatocellular carcinoma AJR Am J Roentgenol 176 661–6 Occurrence Handle11222201 Occurrence Handle1:STN:280:DC%2BD3M3is1Kktw%3D%3D

    PubMed  CAS  Google Scholar 

  12. S Tanaka T Kitamura M Fujita et al. (1992) ArticleTitleSmall hepatocellular carcinoma: differentiation from adenomatous hyperplastic nodule with color Doppler flow imaging Radiology 182 161–5 Occurrence Handle1309217 Occurrence Handle1:STN:280:By2D1c%2FmvFE%3D

    PubMed  CAS  Google Scholar 

  13. M Kudo (2001) ArticleTitleContrast harmonic ultrasound is a breakthrough technology in the diagnosis and treatment of hepatocellular carcinoma J Med Ultrasonics 28 78–81

    Google Scholar 

  14. M Kudo S Tomita H Tochio et al. (1991) ArticleTitleHepatic focal nodular hyperplasia. Specific findings at dynamic contrast-enhanced US with carbon dioxide microbubbles Radiology 179 377–82 Occurrence Handle1849661 Occurrence Handle1:STN:280:By6C1MrltVc%3D

    PubMed  CAS  Google Scholar 

  15. H Tochio S Tomita M Kudo et al. (1999) ArticleTitleThe efferent blood flow of early hepatocellular carcinoma and borderline lesions: demonstration by color Doppler imaging J Med Ultrasonics 26 781–5

    Google Scholar 

  16. P Bergeron VL Oliva G Lalonde et al. (1994) ArticleTitleLiver angiomyolipoma: classic and usual presentations Abdom Imaging 19 543–5 Occurrence Handle7820029 Occurrence Handle10.1007/BF00198259 Occurrence Handle1:STN:280:ByqC3MbovVw%3D

    Article  PubMed  CAS  Google Scholar 

  17. G Ascenti M Gaeta G Zimbaro et al. (2000) ArticleTitleUS power Doppler of hepatic angiomyolipoma with low fat content Eur Radiol 10 935–7 Occurrence Handle10879706 Occurrence Handle10.1007/s003300051040 Occurrence Handle1:STN:280:DC%2BD3cvotFGhtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  18. H Ishida (2005) ArticleTitleDetailed analysis of B-mode ultrasonograms; backward-looking ultrasound diagnosis or source of inspiration? J Med Ultrasonics 32 1–2 Occurrence Handle10.1007/s10396-005-0030-6

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masatoshi Kudo.

About this article

Cite this article

Zheng, R., Kudo, M., Ishikawa, E. et al. Hepatic angiomyolipoma: identification of an efferent vessel as a hepatic vein by contrast-enhanced harmonic sonography. J Med Ultrasonics 32, 191–196 (2005). https://doi.org/10.1007/s10396-005-0052-0

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-005-0052-0

Key words

Navigation