González-Nieto M Isabel, Escobar Hoyos Luz Adriana
Internal Medicine Department, HM Delfos Hospital, 151 Vallcarca Avenue, 08023 Barcelona, Spain.
Body Imaging, Radiology Department, IBERORAD, Barcelona, Spain.
Radiol Case Rep. 2021 Jun;16(6):1518-1523. doi: 10.1016/j.radcr.2021.03.058. Epub 2021 Apr 17.
We report a case of hepatic hemangiomatosis coexistent with a giant hepatic hemangioma diagnosed in the context of the study for SARS-CoV-2 infection. Computed tomography showed irregular contours of the left hepatic lobe with a lesion that compromised the whole lobe, with peripheral uptake and a centripetal tendency in the late phase, compatible with bulky cavernous hemangioma, as well as another lesion with the same characteristics in segment VI. Magnetic resonance imaging of the abdomen showed multiple hepatic hemangiomas observed in both lobes involving all segments, some of them smaller than 1 cm, which were hyperintense in the T2-weighted sequences and showed progressive contrast enhancement. This case illustrates the incidental diagnosis of this condition during the study for another pathology, the radiological features that are important to differentiate from other tumoral findings, and the possible management strategies to follow.
我们报告了一例在新型冠状病毒肺炎（SARS-CoV-2）感染研究背景下诊断出的肝血管瘤病合并巨大肝血管瘤病例。计算机断层扫描显示左肝叶轮廓不规则，有一个累及整个肝叶的病变，晚期有外周摄取及向心性强化趋势，符合巨大海绵状血管瘤，此外在VI段还有一个具有相同特征的病变。腹部磁共振成像显示两叶均有多个肝血管瘤，累及所有肝段，其中一些小于1cm，在T2加权序列上呈高信号，并显示渐进性对比增强。该病例说明了在另一种疾病的研究过程中对这种情况的偶然诊断、与其他肿瘤性病变相鉴别的重要放射学特征以及后续可能的处理策略。
