Symptomatic Focal Nodular Hyperplasiaduring Pregnancy : A Case Report

ABSTRACT: A 30-year-old woman presented with hepatomegalyand an audible hepatic bruit at 24 weeks gestation.Non-contrast MRI demonstrated an exophytic 12.6 x7.8 x 12.8 cm mass arising from the right lobe of theliver with a central scar, suggestive of focal nodularhyperplasia (FNH). Conservative management includ-ed monthly abdominal ultrasound examinations untilthe time of delivery, to assess growth of the mass andmonitor for risk of rupture. Seven weeks post partumthe patient experienced severe right upper quadrantpain. A CT angiogram of the liver demonstrated a sta-ble mass with no evidence of bleed or rupture andmultiple hypervascular masses throughout the liver.Surgical resection of the dominant lesion was per-formed. Histological examination of the lesion con-firmed FNH. The patient is now 22 months post sur-gery with radiographic evidence of stable multifocalFNH

• Autores: Cárdenas Vásquez, Andrés; Afdhal, Nezam H.; Hanto, Douglas Wayne; Goretti Byrnes, Valerie Marie
• Tipo de recurso: Article of journal
• Fecha de publicación: 2004
• Institución: Universidad de Antioquia
• Repositorio: Repositorio UdeA
• Idioma: eng
• OAI Identifier: oai:bibliotecadigital.udea.edu.co:10495/25899
• Acceso en línea: http://hdl.handle.net/10495/25899
• Palabra clave: Hiperplasia Nodular Focal; Focal Nodular Hyperplasia; Hepatopatías; Liver Diseases; Embarazo Abdominal; Pregnancy, Abdominal; Embarazo; Pregnancy
• Rights: openAccess
• License: http://creativecommons.org/licenses/by-nc-nd/2.5/co/