Shrinkage of Enlarged Hepatic Nodules by an Embolizing Congenital Extrahepatic Portosystemic Shunt
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- Fukuda Satoshi
- Department of Gastroenterology, Faculty of Medicine, University of Tsukuba, Japan
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- Hasegawa Naoyuki
- Department of Gastroenterology, Faculty of Medicine, University of Tsukuba, Japan
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- Mori Kensaku
- Department of Radiology, Faculty of Medicine, University of Tsukuba, Japan
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- Kawai Hitomi
- Department of Pathology, Faculty of Medicine, University of Tsukuba, Japan
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- Niisato Yusuke
- Department of Gastroenterology, Faculty of Medicine, University of Tsukuba, Japan
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- Endo Masato
- Department of Gastroenterology, Faculty of Medicine, University of Tsukuba, Japan
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- Seo Emiko
- Department of Gastroenterology, Faculty of Medicine, University of Tsukuba, Japan
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- Sakamoto Noriaki
- Department of Pathology, Faculty of Medicine, University of Tsukuba, Japan
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- Matsubara Daisuke
- Department of Pathology, Faculty of Medicine, University of Tsukuba, Japan
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- Tsuchiya Kiichiro
- Department of Gastroenterology, Faculty of Medicine, University of Tsukuba, Japan
Abstract
<p>A 38-year-old woman was admitted to our university hospital with loss of muscle strength. She was diagnosed with dermatomyositis and underwent contrast-enhanced computed tomography of the entire body to check for malignant tumors. Computed tomography revealed multiple enhanced hepatic nodules and an extrahepatic portosystemic shunt. Although a needle biopsy of the nodule could not diagnose definitive hepatocellular carcinoma, some nodules increased in size after three months. Because of the inconclusive results of the second biopsy, we performed shunt embolization using a vascular plug. After another three months, the hepatic nodules shrank markedly, as expected. </p>
Journal
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- Internal Medicine
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Internal Medicine 63 (9), 1237-1242, 2024-05-01
The Japanese Society of Internal Medicine