Dreifuss Nicolas H, Ramallo Dario, McCormack Lucas
Liver Surgery and Transplantation Unit, Department of Surgery, Hospital Alemán, Buenos Aires, Argentina.
Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation Fellow, Hospital Alemán, Buenos Aires, Argentina.
ACG Case Rep J. 2021 Feb 22;8(2):e00537. doi: 10.14309/crj.0000000000000537. eCollection 2021 Feb.
Fatty liver disease is a frequent diagnosis. Rarely, it adopts a multifocal nodular pattern mimicking multiple liver metastases. Multifocal nodular fatty infiltration of the liver entails a challenging problem that must be included as a differential diagnosis when dealing with healthy patients with an incidental finding of multiple liver lesions, even in the absence of obesity or metabolic syndrome. A complete clinical examination and high-quality imaging, including magnetic resonance imaging, might help to confirm diagnosis and to avoid unnecessary liver biopsies.
脂肪肝是一种常见的诊断。极少数情况下,它会呈现多灶性结节模式,类似多发性肝转移瘤。肝脏的多灶性结节性脂肪浸润带来了一个具有挑战性的问题,在处理偶然发现有多个肝脏病变的健康患者时,即使没有肥胖或代谢综合征,也必须将其纳入鉴别诊断。全面的临床检查和高质量的影像学检查,包括磁共振成像,可能有助于确诊并避免不必要的肝活检。