Korean J Gastroenterol.  2022 Jun;79(6):274-277. 10.4166/kjg.2022.073.

Delayed Detected Hepatocellular Carcinoma in a Patient with Liver Abscess and Combined Renal Abscess

• Cho SH
• Park C
• Yoon JH

• KMID: 2530702
• DOI: http://doi.org/10.4166/kjg.2022.073

Figure

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  Fig. 1 Initial dynamic abdomen computed tomography. (A-D) Axial images show a 4.5 cm, oval, well-circumscribed cystic mass with rim enhancement in the hepatic dome. (A) Pre-contrast, (B) arterial phase, (C) portal phase, and (D) delayed phase. (E) A 2.3 cm-sized oval, well-circumscribed cystic mass with rim enhancement in the right kidney.

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  Fig. 2 One-month follow-up dynamic abdomen computed tomography image after antibiotics treatment. (A) No remarkable change in the size of a cystic mass in the hepatic dome is noted. (B) The presumed renal abscess has been improved markedly (yellow arrow).

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  Fig. 3 Three-month follow-up dynamic abdomen computed tomography after antibiotics treatment. (A-D) Axial images show a 4.5 cm, oval, well-circumscribed cystic mass with rim enhancement in the hepatic dome. (A) Pre-contrast, (B) arterial phase, (C) portal phase, (D) delayed phase. The solid portion of the mass has developed and shows early enhancement and delayed washout (yellow arrows of B, D).

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  Fig. 4 Images of trans-arterial chemoembolization. (A) Digital subtraction angiography of the celiac axis image shows hypervascular tumor staining in the hepatic dome. (B) After superselective chemoembolization, a cone-beam computed tomography scan revealed compact lipiodol uptake of the tumor.

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