Sawafta Ahmed, Sawaftah Zaid, Awashra Ameer, Anabseh Yaqoot, Hamshary Husam, Odah Ali Bani, Dibas Jana, Eid Aseel, Khamaysa Jehad, Hamdan Ahmad
Department of Medicine, An Najah National University, Nablus, Palestine.
Department of Radiology, Tubas Turkish Governmental Hospital, Tubas, Palestine.
Radiol Case Rep. 2024 Dec 3;20(2):1205-1207. doi: 10.1016/j.radcr.2024.11.022. eCollection 2025 Feb.
Aberrant right gastric veins (ARGV) represent rare anatomical variations that can result in hepatic pseudolesions, mimicking malignancies due to their atypical drainage directly into the liver parenchyma. This case highlights a 44-year-old woman initially presenting with a breast mass incidentally found to have an ARGV-related pseudolesion in hepatic segment IVa. ARGV is clinically significant as it can alter hepatic blood flow dynamics, leading to hyperdense or hypodense regions on imaging. Recognizing these pseudolesions is essential to avoid misdiagnosis, unnecessary procedures, and to distinguish them from true hepatic lesions. This case emphasizes the importance of advanced imaging modalities in diagnosing such anomalies, ensuring accurate patient management.
异常右胃静脉（ARGV）是一种罕见的解剖变异，可导致肝脏假性病变，因其直接引流至肝实质的非典型方式而酷似恶性肿瘤。本病例重点介绍了一名44岁女性，最初因乳腺肿块就诊，偶然发现肝IVa段有一个与ARGV相关的假性病变。ARGV具有临床意义，因为它可改变肝脏血流动力学，导致影像学上出现高密度或低密度区域。识别这些假性病变对于避免误诊、不必要的检查以及将它们与真正的肝脏病变区分开来至关重要。本病例强调了先进成像方式在诊断此类异常中的重要性，以确保对患者进行准确的管理。
