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Benign nodular hyperplasia of the liver-pedunculated form: diagnostic contributions of ultrasonography and consideration of exophytic liver tumors

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Abstract

Focal nodular hyperplasia (FNH) is an asymptomatic benign liver tumor that may be detected accidentally during an abdominal ultrasound examination; it is associated with unspecific complaints, sometimes painful. Diagnosis can be precise using imaging techniques like ultrasonography. The diagnostic criteria are represented by the spatial display of the tumoral vessels and their hemodynamic characteristics. Sometimes differential diagnostic issues occur with other benign or malignant liver tumors. We present the case of a young female patient without a personal pathological history, who complained of intense, diffuse, intermittent, non-systematic abdominal pain and who underwent ultrasound examination, followed by contrast-enhanced ultrasound. With this technique, we evidenced a solid extrahepatic tumor, which was mobile at the patient’s change of position and had the hemodynamic features of FNH. The article also tackles the problem of intra-abdominal pedunculated tumors.

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Conflict of interest

Radu Badea, Magdalena Meszaros, Nadim AL Hajjar, Ioana Rusu, and Liliana Chiorean declare that they have no conflict of interest. There are no financial or other relations that could lead to a conflict of interest.

Ethical Considerations

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study. Additional informed consent was obtained from all patients for which identifying information is included in this article.

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Authors and Affiliations

  1. Department of Ultrasonography, Medical Clinic 3, “Octavian Fodor” Regional Gastroenterology and Hepatology Institute, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj Napoca, Romania

    Radu Badea & Liliana Chiorean

  2. Department of Gastroenterology, Medical Clinic 3, “Octavian Fodor” Regional Gastroenterology and Hepatology Institute, Cluj Napoca, Romania

    Magdalena Meszaros

  3. Department of Surgery, Medical Clinic 3, “Octavian Fodor” Regional Gastroenterology and Hepatology Institute, “Iuliu Hatieganu” University of Medicine and Pharmacy, Str. Croitorilor 19–21, 400 162, Cluj Napoca, Romania

    Nadim AL Hajjar

  4. Department of Pathology, “Octavian Fodor” Regional Gastroenterology and Hepatology Institute, Cluj Napoca, Romania

    Ioana Rusu

Authors
  1. Radu Badea
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  2. Magdalena Meszaros
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  3. Nadim AL Hajjar
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  4. Ioana Rusu
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  5. Liliana Chiorean
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Corresponding author

Correspondence to Magdalena Meszaros.

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Badea, R., Meszaros, M., AL Hajjar, N. et al. Benign nodular hyperplasia of the liver-pedunculated form: diagnostic contributions of ultrasonography and consideration of exophytic liver tumors. J Med Ultrasonics 42, 97–102 (2015). https://doi.org/10.1007/s10396-014-0564-6

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  • DOI: https://doi.org/10.1007/s10396-014-0564-6

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