J-LSMS 2017 | Annual Archive

JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY

RADIOLOGY CASE OF THE MONTH More than One Hepatic Adenoma

Juan Gomez, MD, Adam Blanchard, MD, Mandy Weidenfaft, MD, Zahraa Ghandour, MD, Jeremy Nguyen, MD

A 33-year-oldwoman presented to our institutionwith acute onset of severe, progressively- increasing right upper quadrant abdominal pain radiating to the right shoulder. Associated symptoms included nausea and early satiety. Her past medical history was unremarkable. The patient had been taking oral contraceptives for the past 10 years. Blood work revealed increased serum gamma-glutamyl transpeptidase and alkaline phosphatase levels. A triple phase computed tomography (CT) of the abdomen was obtained (Figure 1). Based on imaging findings, patient underwent exploratory laparoscopy with left lobe liver resection and subsequent biopsy of the hepatic parenchyma (Figure 2).

Figure 1: Triple phase Computed Tomography of the Abdomen. (A) Early Arterial phase, (B) Venous phase.

What is your Diagnosis? Explication is on pg. 179

178 J La State Med Soc VOL 169 NOVEMBER/DECEMBER 2017

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