Clin Ultrasound.  2023 Nov;8(2):76-79. 10.18525/cu.2023.8.2.76.

Solitary Eosinophilic Liver Abscess Mimicking Hepatocellular Carcinoma

• Song JE

• KMID: 2555175
• DOI: http://doi.org/10.18525/cu.2023.8.2.76

Abstract

A 63-year-old male patient who presented with a hypoechoic solitary nodule on abdominal ultrasound was suspected of having hepatocellular carcinoma following additional imaging examinations of computed tomography and magnetic resonance imaging. To confirm the diagnosis of hepatocellular carcinoma, a liver tissue biopsy was conducted, and eosinophilic liver abscess was diagnosed. Eosinophilic liver abscess can present with various radiological findings and, in Korea, is not an uncommon condition. It may be beneficial to assess peripheral blood eosinophil counts before conducting additional imaging studies in cases where a solitary lesion is identified on abdominal ultrasound, as this can aid in the diagnosis.

Keyword

호산구성 간농양; 복부 초음파; 간세포암; 톡소카라증; Eosinophilic liver abscess; Abdominal ultrasonography; Hepatocellular carcinoma; Toxocariasis