HomeClinicalAbdominal pain and a history of hemangioma

Abdominal pain and a history of hemangioma

Author: Carlo Catalano, Rome, Italy
Body Region: Abdomen and Pelvis

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

1. Patient presentation

  • A 64-year-old man complained of abdominal discomfort and right upper quadrant pain.
  • The patient’s medical history included a 3-cm hepatic hemangioma diagnosed 10 years earlier,
    but no diffuse hepatic diseases or prior surgeries.
  • Laboratory testing indicated elevated levels of gamma glutamyltransferase but a normal level of
    alpha-fetoprotein and no indication of a viral infection.
  • Abdominal US showed a 15-cm inhomogeneous hypo- to isoechoic mass in the right liver lobe.
  • Contrast-enhanced CT of the abdomen was performed to characterize the lesion.