Hepatic adenoma

Case contributed by Saeed Soltany Hosn
Diagnosis almost certain

Presentation

Known case of Fanconi anemia. Presented with abdominal pain

Patient Data

Age: 13 years
Gender: Male
ultrasound

Transabdominal coronal plane US images  shows a heterogenous complex mass like lesion in the right lobe of the liver.

ct

CT scan demonstrates a large heterogeneous mass mainly in the anterior segments of the liver. On pre contrast CT scan the mass apears slightly hyperdense. On postcontrast CT the hyperdense structures are not well enhanced suggestive hematoma but the middle part of the mass show faint enhancement.

Case Discussion

The findings are in keeping with ruptured hepatic mass.

The patient underwent surgery and histopathology confirmed the diagnosis of a ruptured liver adenoma.

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