Beyond Rare: A Case of Hepatic Epithelioid Hemangioendothelioma with Atypical Imaging Features.

Q3 Medicine
Middle East Journal of Digestive Diseases Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI:10.34172/mejdd.2025.420
Sajjad Rezvan, Mehdi Pezeshki-Modaress, Vida Bozorgi, Nazanin Khajeh Azad, Mahdieh Ghoddoosi, Enayatollah Noori, Nourallah Najafi
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引用次数: 0

Abstract

Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor that can affect various organs. This report describes a 65-year-old woman who presented with abdominal pain, weight loss, and elevated liver enzymes. After the diagnostic workup, a percutaneous biopsy of the liver lesions showed histological changes in EHE. What stands out in this case is that imaging studies revealed multiple cystic lesions with fluid-fluid levels, even though such manifestation is not typically seen in this disease. This case emphasizes the importance of considering EHE in the differential diagnosis of hepatic lesions, even in atypical presentations.

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Abstract Image

罕见:具有非典型影像学特征的肝上皮样血管内皮瘤1例。
上皮样血管内皮瘤(EHE)是一种罕见的血管肿瘤,可累及多种器官。本报告描述了一位65岁的女性,她表现为腹痛、体重减轻和肝酶升高。诊断检查后,肝脏病变的经皮活检显示EHE组织学改变。本病例中突出的是影像学检查显示多发性囊性病变伴液-液水平,尽管这种表现在本病中并不常见。本病例强调了在肝病变鉴别诊断中考虑EHE的重要性,即使是非典型表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Middle East Journal of Digestive Diseases
Middle East Journal of Digestive Diseases Medicine-Gastroenterology
CiteScore
1.20
自引率
0.00%
发文量
33
审稿时长
12 weeks
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