Shrinkage of Enlarged Hepatic Nodules by an Embolizing Congenital Extrahepatic Portosystemic Shunt

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...

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Bibliographic Details
Published in:Internal Medicine 2024/05/01, Vol.63(9), pp.1237-1242
Main Authors: Fukuda, Satoshi, Hasegawa, Naoyuki, Mori, Kensaku, Kawai, Hitomi, Niisato, Yusuke, Endo, Masato, Seo, Emiko, Sakamoto, Noriaki, Matsubara, Daisuke, Tsuchiya, Kiichiro
Format: Article
Language:English
Subjects:
Adult
Biopsy
Case Report
Computed tomography
congenital portosystemic shunt
Dermatomyositis
Embolization
Embolization, Therapeutic
Female
hepatic nodule
Hepatocellular carcinoma
Humans
Liver
Liver Neoplasms - diagnosis
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - pathology
Muscle strength
Nodules
Portal Vein - abnormalities
Portal Vein - diagnostic imaging
shunt embolization
shunt occlusion
Shunts
Tomography, X-Ray Computed
Citations: Items that this one cites
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Summary: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.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.2267-23